I’m about 5’2 and 130 lbs, and I have a 34H chest that I’m looking to size down to a C or D cup. I’ve had chronic back, shoulder, neck, and chest pain for years, and physical therapy hasn’t been much help. There’s also bruising and rashes that have been under my chest for a while now. I’m not totally sure if my insurance will cover a reduction, and I’d like to know how to get them to cover it.
January 30, 2025
Answer: Insurance coverage Generally, everything you have mentioned is important symptoms for insurance to cover it. Insurance wants to see that you have bra strap grooving, back and shoulder pain, and have attempted therapy with no improvement. Given your size and symptoms you should not have an issue getting a functional breast reduction approved.
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January 30, 2025
Answer: Insurance coverage Generally, everything you have mentioned is important symptoms for insurance to cover it. Insurance wants to see that you have bra strap grooving, back and shoulder pain, and have attempted therapy with no improvement. Given your size and symptoms you should not have an issue getting a functional breast reduction approved.
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December 10, 2024
Answer: Breast reduction under insurance The first thing is to make sure that " breast reduction" is not an "exclusion" in your particular policy. You can check on your policy by calling them. Next step is to see a board certified plastic surgeon who is in your network and get evaluated. Then the plastic surgeon will communicate with your insurance company to request a preauthorization or predetermination by sending them a letter, pictures and an estimate of how much breast needs to be removed ( weight). If you meet the criteria, then a letter of approval is sent to you and your physician and you can get it done.
Helpful
December 10, 2024
Answer: Breast reduction under insurance The first thing is to make sure that " breast reduction" is not an "exclusion" in your particular policy. You can check on your policy by calling them. Next step is to see a board certified plastic surgeon who is in your network and get evaluated. Then the plastic surgeon will communicate with your insurance company to request a preauthorization or predetermination by sending them a letter, pictures and an estimate of how much breast needs to be removed ( weight). If you meet the criteria, then a letter of approval is sent to you and your physician and you can get it done.
Helpful