I have federal insurance GEHA. Would they pay/cover for my male breast reduction?

Dear Richie1234,Occasionally male breast reduction can be paid for by an insurer but it is becoming increasingly rare.  Some of the federal insurance plans don't even do prior approval, which means there is no way to tell if it will be covered.  I would call your carrier to see if it is even a covered service.  I recommend you  see a plastic surgeon with experience in the field.  Most offices will work with you to get and answer.

The cost off male breast reduction varies across the country and even in
the same area. Prices in South Florida are less than more expensive
cities such as Toronto, New York, or Los Angeles. We charge starting at
$3000 + MD Anesthesia related expenses for male breast reduction. Insurance
is unlikely to cover the costs of the surgery, but you should contact
your insurance company for the specifics of your plan. To
ensure the lowest possible costs and the highest possible quality,
consult with board certified plastic surgeon who owns his own nationally
accredited surgery center. Consult with 3 experienced and expert board certified plastic surgeons to understand your options.

I think that you will find it unlikely that any type of “insurance” company will help with male breast reduction surgery. Of course, for specific/accurate information you will need to check with your specific insurance carrier.  When the time is right, seek consultation with board certified plastic surgeons who can demonstrate significant experience helping patients in your situation. Best wishes.

Thank you for the question.This might be an option for you with a plastic surgery practice in the United States.Best wishes,Dr. Campos

The only way to truly know if any gynecomastia procedure would be covered by any insurance is to have a plastic surgeon submit a predetermination letter. It is up to the insurance company to decide what they will cover.

The insurers stopped paying for male breast reduction about 10 years ago.  The only basis on which they will pay is documented suspicious masses which require resection, typically combined with a BRCA positive gene or immediate family history  of breast cancer.  Otherwise, they find that it is not functionally or medically necessary.  Their position isn't that you shouldn't have the surgery but that they shouldn't have to pay for it!