Insurance Coverage for Tuberous Breast Reconstruction?

I have had numerous cases of severe tuberous breast deformity aka constricted breasts denied by third party payors despite strong documentation and supporting letters from counselors, pediatricians, physical therapists, etc.
 

Generally, insurance companies do not cover the cost of tuberous breast correction surgery. This is because tuberous breasts are more of an aesthetic concern rather than health risk. However, you should ask your insurance provider if they do. 

At this time, most insurance companies will deem a tuberous breast deformity a cosmetic concern and will not deny coverage.  Although it is possible for you to appeal their decision.

I would not submit a tuberous breast procedure to an insurance company- its a cosmetic procedure with no functional benefit for the patient. Insurance companies are restrictive enough with breast operations that offer real benefit to patients (bilateral breast reduction, BRAVO study etc...) - they are going to deny any tuberous breast claim that is submitted.

Your best option is to find a surgeon that is experiences with this difficult operation and obtain a price quote for the procedures.

I do not know of an insurance company that will cover tuberous breast deformities.  It is usually deemed cosmetic.