I am 19, 5'4", 125 pounds, wear a 32G and am considering breast reduction. My neck and shoulders are always tight, my posture is bad, I have indents in my shoulders from my bra straps, and have terrible self confidence because of it. I also have trouble finding clothes that fit. Do you think my breast reduction could be covered by insurance?
December 11, 2013
Answer: Insurance Coverage? Every insurance plan has their own unique criteria on whether they will cover a breast reduction. More and more, we are seeing plans where a breast reduction is not a covered benefit. If it is a covered benefit, some insurance plans set a minimum required amount of tissue to be remove in order to met their threshold for coverage. Some set the amount in relation to your BMI (height and weight). Others require extensive medical records documenting neck pain, back pain, and history of rashes. The other alternative is to opt for a breast reduction as a self-pay option. Start by visiting with a board certified plastic surgeon to learn more about your options.Best wishes,Dr. BasuHouston, TX
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December 11, 2013
Answer: Insurance Coverage? Every insurance plan has their own unique criteria on whether they will cover a breast reduction. More and more, we are seeing plans where a breast reduction is not a covered benefit. If it is a covered benefit, some insurance plans set a minimum required amount of tissue to be remove in order to met their threshold for coverage. Some set the amount in relation to your BMI (height and weight). Others require extensive medical records documenting neck pain, back pain, and history of rashes. The other alternative is to opt for a breast reduction as a self-pay option. Start by visiting with a board certified plastic surgeon to learn more about your options.Best wishes,Dr. BasuHouston, TX
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November 5, 2012
Answer: Breast reduction coverage Based on your numbers, you would be a candidate for breast reduction surgery. However, check with your insurance company (many have online sites with detailed information, by procedure) as to whether and how much documented conservative management, including physical therapy, chiropractic, pain medication, etc., would be required to support your request for coverage.
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November 5, 2012
Answer: Breast reduction coverage Based on your numbers, you would be a candidate for breast reduction surgery. However, check with your insurance company (many have online sites with detailed information, by procedure) as to whether and how much documented conservative management, including physical therapy, chiropractic, pain medication, etc., would be required to support your request for coverage.
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