I want a Breast reduction, will Molina insurance cover it? I'm 5’1 and a 32 G cup.

Question

They are so heavy . I live in Houston texas

Randal Haworth, MD, FACS · Answer

With today's insurance plans under the ACA, less and less insurance companies cover breast reduction surgery despite if you may have symptoms such as painful bra strap grooving, neck, shoulder and back pain overly large breasts. However, I suggest contacting your insurance company and asking exactly what is and isn't covered in regards to treating macromastia with a breast reduction. If  they do offer coverage then ask for a list of in network providers whom you can then contact to set up an appointment and consultation with to address your concerns

Daniel Barrett, MD · Answer

Dear Creee,in some cases, insurance company does cover the cost of breast reduction surgery. And in most cases they set some goals (the amount of removed breast tissue), which should be set in order for a surgery to be covered. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nick Masri, MD, FACS · Answer

Thanks for your question, Creee.
Breast reduction is often covered by most insurance companies, although they have their own criteria with regard to coverage. You have to ask them to bee sure.
But in general, it would be best to make sure that you provide proper documentation of your condition to your insurance company.  Take photos of the discomfort you have because of your large breasts, like skin rashes and bra straps that dig into the skin. Get referrals and certifications from physicians saying that you tried all other non-surgical procedures to remedy your condition, but to no avail.
It’s also important to look for a reputable and board-certified plastic surgeon who has experience in handling such cases, as he may be able to assist you in procuring coverage for your breast reduction.
Good luck!

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your excellent question. Your best bet is to call your insurance directly, to see if you are covered. There are typically many individual types of insurance plans, and each of those plans will have different coverage details. Good luck!
Best,
  
Jon Ver Halen, MD FACS
  
Harvard educated plastic surgeon
  
Texas “Top Doc”

I want a Breast reduction, will Molina insurance cover it? I'm 5’1 and a 32 G cup.

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I want a Breast reduction, will Molina insurance cover it? I'm 5’1 and a 32 G cup.

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Our mission is to create a world where every investment in modern beauty is Worth It.