Should someone with a 36DDD qualify for a breast reduction?

Thank you for you question,            
The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  Unfortunately, we do not accept insurance for breast reductions.  Dr. Horndeski does not remove enough breast tissue to meet insurance criteria.  Instead, he utilizes the breast tissue to reshape the breast.  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. 
Best wishes and kind regards, 
Dr. Gary Horndeski

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. 
Read your medical insurance certificate of coverage. Determine what medical information is required for your insurance provider to issue a pre-authorization or predetermination of benefits for BR surgery. Typically insurance companies require 500 grams composed of fat and glandular tissue be removed  from each breast. Depending upon its density, the volume of breast tissue will weigh different amounts in different people.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

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.  

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.

350 is below the applicable standard in NY. A true DDD would get you there but the question is whether you gave substituted cup size for chest circumference. I would recommend that you see another plastic surgeon for a second opinion.  The insurance company will require precertification anyway which would either confirm or rebut what you have been told. We are so underpaid for reductions that some surgeons will dissuade patients from going through insurance to convert the case to fee for service. This is such a transformational procedure that it is a pity that the insurance valuation is so absurdly low.

The cup size does not accurately predict the volume of the breast.I would have to defer to  performing an exam to determine what might be appropriate for you.

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.

Hello, usually a DDD cup should be able to qualify for a reduction. I would encourage your however to get other opinions from other board qualified plastic surgeons in your area, they will educate you in your options, and the benefits and risks that are associated. good luck.