I am a 36DDD and I was told I did not have enough tissue to remove in order to qualify for a breast reduction covered by insurance.The surgeon told me there was a minimum requirement of 350g to be removed in order for insurance to cover and I did not meet that. She told me I would essentially need a mastectomy to meet the 350g minimum limit that insurance requests. Is the surgeon correct on telling someone with a DDD they are not big enough for a reduction? not sure what to do.
Answer: Qualifying for breast reduction Breast reduction eligibility and coverage by insurance varies from one insurance carrier to the next, and cannot be determined based on cup size, but only based on an in-person examination to figure out how much tissue the surgeon needs to remove. You also often have to qualify for multiple other criteria from your insurance carrier, so be sure to request their breast reduction coverage policy ahead of time before your plastic surgery visit to ensure you meet all the other non-size related demands that they have. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. I've attached a link where you can start your search.
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Answer: Qualifying for breast reduction Breast reduction eligibility and coverage by insurance varies from one insurance carrier to the next, and cannot be determined based on cup size, but only based on an in-person examination to figure out how much tissue the surgeon needs to remove. You also often have to qualify for multiple other criteria from your insurance carrier, so be sure to request their breast reduction coverage policy ahead of time before your plastic surgery visit to ensure you meet all the other non-size related demands that they have. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified. I've attached a link where you can start your search.
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October 13, 2017
Answer: The Bellesoma Method Thank you for you question,
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October 13, 2017
Answer: The Bellesoma Method Thank you for you question,
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October 12, 2017
Answer: Should someone with a 36DDD qualify for a breast reduction? None of us can predict what decisions insurance companies will make regarding coverage for BR surgery or what documentation will sway their decision. BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by medical insurance. If not, your insurance company may try to deny you based upon a lot of things such as weight, lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed.
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October 12, 2017
Answer: Should someone with a 36DDD qualify for a breast reduction? None of us can predict what decisions insurance companies will make regarding coverage for BR surgery or what documentation will sway their decision. BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by medical insurance. If not, your insurance company may try to deny you based upon a lot of things such as weight, lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed.
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October 12, 2017
Answer: Should someone with a 36DDD qualify for a breast reduction? Sorry, but there is just too much variability in cup sizes for cup sizes to be a good reference when it comes to describing breast size. In other words, DDD cup sizes will vary significantly from one from manufacturer to another (or how a specific patient "fills out" the bra). If in doubt, I would suggest that you seek consultation with a few well experienced board-certified plastic surgeons to discuss your concerns/goals. Hopefully, through this process, you will develop a consensus as to how to proceed. Best wishes.
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October 12, 2017
Answer: Should someone with a 36DDD qualify for a breast reduction? Sorry, but there is just too much variability in cup sizes for cup sizes to be a good reference when it comes to describing breast size. In other words, DDD cup sizes will vary significantly from one from manufacturer to another (or how a specific patient "fills out" the bra). If in doubt, I would suggest that you seek consultation with a few well experienced board-certified plastic surgeons to discuss your concerns/goals. Hopefully, through this process, you will develop a consensus as to how to proceed. Best wishes.
Helpful
October 13, 2017
Answer: DDD and reduction If you have doubts about the assessment of your surgeon, simply seek additional opinions from other Board Certified Plastic Surgeons. Know that your agreement with your insurance company ultimately determines the criteria for coverage, and most policies are very specific about their requirements to prove that surgery is being performed for functional and not cosmetic benefits. Seek a provider willing to be your advocate.
Helpful
October 13, 2017
Answer: DDD and reduction If you have doubts about the assessment of your surgeon, simply seek additional opinions from other Board Certified Plastic Surgeons. Know that your agreement with your insurance company ultimately determines the criteria for coverage, and most policies are very specific about their requirements to prove that surgery is being performed for functional and not cosmetic benefits. Seek a provider willing to be your advocate.
Helpful
