I have breast asymmetry. My right one is a B cup and my left one, a D cup. Will my insurance cover this?
Will Insurance Cover Correction of Breast Asymmetry?
Doctor Answers 5
Insurance and breast asymmetry
Insurance coverage of breast asymmetry
That depends on the wording of your insurance policy. You need to look at the policy to see what the coverage of developmental and congenital abnormalities is. Some have age limits or other criteria. Changing insurance may not be an option because of pre-existing condition clauses. If you have symptoms like back or neck pain because of the condition then you would have coverage provided you meet whatever the coverage criteria of the policy are -3 months of conservative treatment, symptoms of a 1 year duration or more etc.
Breast asymmetry options
Breast asymmetry is very common, particularly size asymmetry. If you are looking to decrease the asymmetry from one breast to another, then you have several options.
1) You can reduce the larger breast with liposuction
2) You can enlarge the smaller one with fat grafting or an implant
3) You can enlarge both but use different size implants
4) A lift procedure may also be needed to help address differences in shape and nipple position.I would visit with a board certified plastic surgeon to discuss your options in more detail and who can submit appropriate documentation to the insurance company.
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Insurance coverage for breast asymmetry
Insurance coverage of congenital breast asymmetry
In the vast majority of instances in which I have submitted claims for congenital breast asymmetry, the benefits have been denied by the insurance company despite being supported by the patients internist, family practitioner, psychologist, and gynecologist.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.