Is it normal to see a orthopedist for breast reduction? 5'3, 153 pounds with a size 34i breast.

Hello and thank you for your question.
Most Insurance companies want documentation from various Physicians. They want to see if you have explored other areas to relieve the pain, shoulder grooving, rashes, etc. So yes, it is a good idea to see an orthopedic doctor. Best wishes!

Insurance companies have various criteria that have to be met before they approve for a breast reduction. This may include seeing specialists to see if other interventions other than a breast reduction will improve your symptoms. Your PCP may be "building a case" to give you the best chance for approval.

Insurance companies have come up with restrictive prerequisites for breast reduction coverage. Documentation of symptoms related to your large breast size, and conservative attempts to relieve those symptoms are typically required. This can be done in a variety of ways. Some people use physical therapist or chiropractor treatments. Orthopedist records might be helpful as well. Keep in mind that a letter of support is typically useless and not part of the criteria. Generally speaking, treatment records are the only supportive documentation that insurance companies consider.