Size 40DD Having Issues With Fungus/Yeast Infection - Breast Reduction Needed?

Recurrent rashes under the breasts may qualify your breast reduction for insurance coverage. It is best if you have documentation of seeking medical care for these rashes, such as a doctor's note or a record of prescription medications for the rashes. The strongest criteria for insurance coverage of a breast reduction is a documented history of back pain not responding to other treatments and an operative plan to remove a significant weight of breast tissue per breast (google 'Schnur scale').

If you have reaccuring infections due to your breast size you would be a good canidate for a reduction. Each insurance company is different, but they should cover this procedure. The more documentation you have the better. You should consult with a board certified plastic surgeon and they can write a letter to send to your insurance

Thank you for the question.

Based on your description you may be a good candidate for breast reduction surgery for physical relief and control of infections.

The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.

This documentation and letter/pictures from your plastic surgeon will help you obtain authorization. Make sure you're  working with a well-trained/experienced board-certified plastic surgeon.
 

I hope this helps.

Simply said, size 40DD and yeast infections under breasts are an indication for breast reduction surgery based on a functional need basis and should be covered by your insurance company. Variables which could prevent coverage are  a high Body Mass Index (BMI) and a need for weight loss and lack of any history of previous conservative medical management. Also, coverage varies based on type of insurance coverage. It is best to consult with your family physician for documentation and basic attempts to relieve your symptoms. When visiting a board certified plastic surgeon, photographs should be taken and submitted to your insurance company if indicated or required.

There are a list of insurance criteria for approved breast reduction. Call your insurance company to see if you fit their criteria. I believe you do. Or see a boarded PS in your area to send a predetermination letter to your insurance company with a photo of your breasts. After receiving an approval letter then have the operation. Best from MIAMI