What Doctors Accept Medicaid for Breast Reduction Surgery?

Question

Im 239lbs my breast size i don't know anymore

Donovan Rosas, MD · Answer

Finding a surgeon who accepts a particular insurance can be accomplished by contacting the coverage provider.The requirements are similar across the board regardless of which provider:-Patients will need to demonstrate/document symptomatic macromastia: back/neck/shoulder pain; rashes in the folds beneath the breasts; bra strap grooving.-Patients will also need to demonstrate failure of more conservative measures (weight loss, physical therapy, medical therapy)-The weight resected will be determined by the Schnurr scale which is a function of BSA.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Tom J. Pousti, MD · Answer

Unfortunately, it may be very difficult to find the highest quality of care if you are seeking  to have the operation covered through Medicaid. Many plastic surgeons no longer work with this organization given the bureaucratic hassles involved ( and extremely low reimbursement rates).

	 You will have to do your due diligence by calling the offices of board-certified plastic surgeons to see whether they work with this organization or not.
	 Given that your first priority should be safety as well as outcome of the procedure, you may do better by gradually saving up for the procedure and/or obtaining an alternative form of health insurance.
	I hope this helps.

Stephen M. Chen, MD · Answer

There are still many of us out here who accept Medicaid.  The criteria remains the same as with any other insurance.  You will need to demonstrate symptomatic macromastia ie neck back and shoulder pain, rashes, bra strap grooving,  etc.  The amount that needs to be resected will be determined by the Schnurr scale.  

	The biggest barrier to you getting a breast reduction is not Medicaid but is your weight.  At your weight, you will have more issues with wound healing, seromas, etc.  also, depending on the amount that needs to be removed, you may require a free nipple technique which completely removes your nipple and then places it back onto the breast in the same fashion as a skin graft.  Your nipples will be insensate and have a higher probability of partial loss.

	that being said, a breast reduction is still a great operation if you are suffering from the effects of having giant breasts.  You can use this as a stepping stone to embarking on a healthier lifestyle in order to lose weight.  You will find it much easier to exercise without having to deal with huge breasts.  Please reference the post in the community section of your replies to find a plastic surgeon in your area

George J. Beraka, MD (retired) · Answer

Hi.

	I would not go the Medicaid route.  Find a teaching hospital with plastic surgery residents, where the surgery is done under supervision.  In New York, we have one at Lenox Hill Hospital.

What Doctors Accept Medicaid for Breast Reduction Surgery?

Answers (4)

Answer: Breast reduction in a plastic surgery training program is usually safe.

Answer: Breast reduction in a plastic surgery training program is usually safe.

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.

What Doctors Accept Medicaid for Breast Reduction Surgery?

Answers (4)

Answer: Breast reduction in a plastic surgery training program is usually safe.

Answer: Breast reduction in a plastic surgery training program is usually safe.

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.