Size 46DD - will Medicaid cover a breast reduction?

Question

I’m in a size 46 double D which gives me problems with my back neck shoulders

Camille Cash, MD · Answer

There are certain criteria that need to be met in order for the procedure to be covered by insurance.  The best place to begin is a consultation with a board certified plastic surgeon.  During this visit information with be gathered and measurements taken to submit to insurance for approval.

Scott C. Lindsay, DO · Answer

Hello and thank you for your question.
The best thing to do is call your insurance company (phone number should be on  back of card) and see if Breast Reduction is a covered benefit, what the guidelines are and surgeons you can see. Best of luck!

Gary M. Horndeski, MD · Answer

At size 46 DD, it is unlikely that Medicaid will authorize a reduction.  They usually require a certain amount of weight to be removed, which you may not have.  The technique I recommend is The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  This technique is not covered by insurance.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Vivid836731,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Maybe but the reimbursement from Medicaid patients is so low that I doubt you can find a boarded Plastic Surgeon willing to under take this difficult surgery. Plus very few hospital accept Medicaid for breasts reduction.

Size 46DD - will Medicaid cover a breast reduction?

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Answer: Size 46DD - will Medicaid cover a breast reduction

Answer: Size 46DD - will Medicaid cover a breast reduction

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Size 46DD - will Medicaid cover a breast reduction?

Answers (5)

Answer: Breast reduction

Answer: Breast reduction

Answer: Size 46DD - will Medicaid cover a breast reduction

Answer: Size 46DD - will Medicaid cover a breast reduction

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Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.