Will my insurance cover a breast reduction?
Doctor Answers 8
Insurance covering breast reduction
Insurance coverage of breast reduction
Insurance and breast reduction
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Breast reduction with insurance?
Insurance coverage for breast reduction
If a breast reduction is a covered benefit under your policy, your insurance company will have certain requirements that will determine if they feel it is medically necessary. These requirements typically include back pain, shoulder pain, neck pain, bra strap grooving and rashes. Many require evidence of failed "conservative management" such as physical therapy, wider bra straps and ointments for the rashes. After that, they will require that a certain amount of breast tissue is removed from each side. This is based on your height and weight, but unfortunately every insurance company has their own scale. It would seem that for someone of your frame enough could be removed to make a DD into a C and make the insurance company happy. The best way to find out is to find a board certified plastic surgeon that is in your area that takes your insurance and go in for a consultation.
Insurance Coverage Breast Reduction
Insurance coverage for breast reduction depends on your symptoms, measurements, physical exam and, sometimes, pictures. Your board-certified plastic surgeon can help you through the insurance approval process to see if you are a candidate for coverage.
Good luck to you.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.