What Insurance Companies Cover Breast Reductions?

Patients with excessively large breasts (breast hypertrophy) almost uniformly suffer from a rather severe set of symptoms.  Breast reduction in a properly selected patient  most definitely can be covered by most insurance policies.  There are a number of factors insurance companies consider in providing coverage, such as degree of symptoms caused by large breasts, prior attempt at conservative measures (which rarely works), degree of skin involvement, etc.  A plastic surgeon that has lots of experience with this type of procedure will also know precisely how to deal with the insurance company.

Thank you for the question.

Based on your description you may be a good candidate for breast reduction surgery.

If your insurance company does not cover breast reduction surgery,  it may be in your best interest to change policies.
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.
 

The first thing to do is go for an examination with a surgeon and have them submit an predetermination of benefits letter to your insurance carrier.