Would BCBS of GA cover a breast reduction?

Your symptoms are certainly real, and you have correctly identified the reason--your scoliosis. Large breasts can also cause symptoms like you have described, even without scoliosis, which is why virtually all insurance companies have left subjective descriptions of pain, soreness, rashes, heaviness, etc. out of their decision-making process.As a former reviewer for Blue Cross/Blue Shield Insurance, and a reviewer for medicaid, I can tell you that the Schnur formula (based on BMI (height and weight) allow for insurance companies to use an objective set of criteria for breast reduction coverage. Most plastic surgeons have this formula memorized, and after examination of your breasts, can calculate the formula based on your height and weight, and tell you how much breast tissue must be removed per side in order to qualify for insurance coverage. There is a "minimum" removal of about one pound per breast, even if you are a tiny petite woman with proportionately large breasts, so this may result in near-mastectomies, depending on how you buy your bras, and if DDD fits well or not.The best advice I can give you is to go for one or more consultations with ABPS-certified plastic surgeons in your area and see how your anatomy fits the criteria. Many of my colleagues offer free consultations (as I do in my office), or the consultation may be billed to your insurance if you are trying for "coverage."Unfortunately, scoliosis does not necessarily "strengthen" your case for coverage--it will all be "cut and dried" based on your height, weight, and amount of tissue mandated for removal (assuming you have the subjective criteria list all plastic surgeons know.) Best wishes! Dr. Tholen

In many cases, yes, assuming you meet the criteria set by your insurance company within your specific policy.  You need to have a consultation with a plastic surgeon, and that office can help you with the whole process.  It's our job to make the process as simple as possible for you.Warmly,Dr. Kavali

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