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?
Answer: Breast Reduction and Insurance You may be borderline in getting insurance coverage. Most insurance companies require a minimum of 500 grams of tissue needing to be removed from each breast, and that usually equates to a DD cup. Your best bet is to see a Board Certified Plastic Surgeon that specializes in breast reduction and have him or her give you an evaluation.Your surgeon will be able to advise you on your eligibility and help you get pre-authorization from your insurance. Good luck!
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW Answer: Breast Reduction and Insurance You may be borderline in getting insurance coverage. Most insurance companies require a minimum of 500 grams of tissue needing to be removed from each breast, and that usually equates to a DD cup. Your best bet is to see a Board Certified Plastic Surgeon that specializes in breast reduction and have him or her give you an evaluation.Your surgeon will be able to advise you on your eligibility and help you get pre-authorization from your insurance. Good luck!
Helpful 1 person found this helpful
Book a virtual consultation
CONTACT NOW Answer: Avoid vertical scar breast reduction
Insurance will cover breast reduction if you meet two criteria. One, you must have symptoms from large breasts. Second, you must have weight removed determined by your body surface area. If you are only a D or DD, it is very likely that they will not cover you since the usually criteria is 500 grams minimum. If you went down to size A or B, you would look inappropriately small and the scars would be highly visible. Another alternative for you is to pay for it yourself. There is a new technique called The Ultimate Breast Lift/Reduction, which transfers the weight of the breast to the underlying muscle to relieve pain. Your breasts are reshaped and repositioned to increase upper pole fullness, cleavage and projection. This technique avoids the ugly vertical scars and maintains nipple sensation and the ability to breast feed.
Best Wishes,
Gary Horndeski, M.D.
Helpful
Book a virtual consultation
CONTACT NOW Answer: Avoid vertical scar breast reduction
Insurance will cover breast reduction if you meet two criteria. One, you must have symptoms from large breasts. Second, you must have weight removed determined by your body surface area. If you are only a D or DD, it is very likely that they will not cover you since the usually criteria is 500 grams minimum. If you went down to size A or B, you would look inappropriately small and the scars would be highly visible. Another alternative for you is to pay for it yourself. There is a new technique called The Ultimate Breast Lift/Reduction, which transfers the weight of the breast to the underlying muscle to relieve pain. Your breasts are reshaped and repositioned to increase upper pole fullness, cleavage and projection. This technique avoids the ugly vertical scars and maintains nipple sensation and the ability to breast feed.
Best Wishes,
Gary Horndeski, M.D.
Helpful
Book a virtual consultation
CONTACT NOW
June 10, 2013
Answer: Insurance coverage breats red
This is easy to find out.I would go to your plastic surgeon and have him/her evaluate you.they can take photos and write foir approval.
Helpful
Book a consultation
CONTACT NOW June 10, 2013
Answer: Insurance coverage breats red
This is easy to find out.I would go to your plastic surgeon and have him/her evaluate you.they can take photos and write foir approval.
Helpful
Book a consultation
CONTACT NOW
FIND THE RIGHT
TREATMENT FOR YOU
June 7, 2013
Answer: Insurance coverage for breast reductions is difficult to predict.
Insurance companies have different standards regarding coverage for breast reductions. A visit to a qualified plastic surgeon will answer your specific situation.
Helpful
Book a virtual consultation
CONTACT NOW June 7, 2013
Answer: Insurance coverage for breast reductions is difficult to predict.
Insurance companies have different standards regarding coverage for breast reductions. A visit to a qualified plastic surgeon will answer your specific situation.
Helpful
Book a virtual consultation
CONTACT NOW
June 6, 2013
Answer: Breast reduction criteria
Some insurance companies demonstrate more flexibility in terms of the minimum gram weight for a petite woman than do others. This will be dependent on your insurer's criteria. Some also require documented conservative medical management for six months preoperatively. The issue is not cup size but what is appropriate in proportion to your stature and shape.
Helpful
Book a virtual consultation
CONTACT NOW June 6, 2013
Answer: Breast reduction criteria
Some insurance companies demonstrate more flexibility in terms of the minimum gram weight for a petite woman than do others. This will be dependent on your insurer's criteria. Some also require documented conservative medical management for six months preoperatively. The issue is not cup size but what is appropriate in proportion to your stature and shape.
Helpful
Book a virtual consultation
CONTACT NOW
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
Book a virtual consultation
CONTACT NOW 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
Book a virtual consultation
CONTACT NOW