Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

FEATURED DOCTOR
SEE ALL

Insurance Denied my Breast Reduction Surgery, How Do I Make a Case for an Appeal?

usmcwife08
25yrs old, 5'3" and 165lbs and my cup size is 34G, denied coverage for breast reduction based on the Schnur scale. Surgeon wants to remove 250g from left breast and 300g from right but scale says to make a symptomatic difference I'd need twice that removed! The ins. company also deemed it cosmetic due to ptosis (sagging breasts) and the fact that a lift would be included in the procedure. Doubled sports bras cause discomfort and trouble breathing so I can't exercise and lose weight due to pain.

Answers (7)

From board-certified doctors and trusted medical professionals
William T. Stoeckel, MD profile photo
Dr. William T. Stoeckel, MD
Answered on Sep 1, 2015
Answer
4 people found this helpful
Dr. William T. Stoeckel, MD
Board Certified Plastic Surgeon
PROFILE
Adam Tattelbaum, MD profile photo
Dr. Adam Tattelbaum, MD
Answered on May 19, 2012
Answer
Dr. Adam Tattelbaum, MD
Board Certified Plastic Surgeon
PROFILE
C. Bob Basu, MD, MPH, FACS profile photo
Dr. C. Bob Basu, MD, MPH, FACS
Answered on Jun 2, 2015
Answer
Steven Wallach, MD profile photo
Dr. Steven Wallach, MD
Answered on May 20, 2012
Answer
Robert L. Kraft, MD, FACS profile photo
Dr. Robert L. Kraft, MD, FACS
Answered on May 19, 2012
Answer
2 people found this helpful
Dr. Robert L. Kraft, MD, FACS
Board Certified Plastic Surgeon
PROFILE
FEATURED DOCTOR
SEE ALL