I am 5'0 and 125 pounds. I wear a size 2 and have a petite frame. my breasts are a D-DD depending on the bra. I have constant back pain and headaces. Not to metion my skin underbeath is rubbed raw from the weight on my chest. Will my insurance cover my reduction? If I went to an A or B?
June 6, 2013
Answer: Insurance Coverage for Breast Reduction
Definitely meet with a board certified plastic surgeon who can examine you carefully. He or she will be able to better counsel you on the chances that insurance will cover your breast reduction. Additionally, he or she may write a letter to your insurance company on your behalf to seek pre-authorization.
Every insurance company has its own set of criteria that have to be met including: amount of tissue that should be removed based on your height and weight, documentation of symptoms, and sometimes they might require documentation that therapies such as physical therapy or massage therapy have failed to improve your symptoms.
From your description, it sounds like you may be a very good candidate to undergo a breast reduction.
Best of luck to you!
Helpful
June 6, 2013
Answer: Insurance Coverage for Breast Reduction
Definitely meet with a board certified plastic surgeon who can examine you carefully. He or she will be able to better counsel you on the chances that insurance will cover your breast reduction. Additionally, he or she may write a letter to your insurance company on your behalf to seek pre-authorization.
Every insurance company has its own set of criteria that have to be met including: amount of tissue that should be removed based on your height and weight, documentation of symptoms, and sometimes they might require documentation that therapies such as physical therapy or massage therapy have failed to improve your symptoms.
From your description, it sounds like you may be a very good candidate to undergo a breast reduction.
Best of luck to you!
Helpful
June 6, 2013
Answer: Breast Reduction and Insurance Coverage?
Based on your description you may be a good candidate for breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform.
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 are working with a well-trained/experienced board-certified plastic surgeon.
Good luck; prepare to be persistent when dealing with health insurance companies.
Helpful
June 6, 2013
Answer: Breast Reduction and Insurance Coverage?
Based on your description you may be a good candidate for breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform.
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 are working with a well-trained/experienced board-certified plastic surgeon.
Good luck; prepare to be persistent when dealing with health insurance companies.
Helpful