The first step in getting insurance to cover a breast reduction is to call your insurance company and find out if this is a covered procedure. Some insurance companies exclude breat reduction, and do not cover it at all. If your insurance company does cover breast reduction, then the next step is to see your Ob or primary care doctor. They may recommend non-surgical treatments such as pain medication or physical therapy (these treatments don't necessarily help with back pain caused by breast size, but insurance requires that non-surgical treatment be tried first). After seeing your PCP or Ob, the next step is to see a board-certified plastic surgeon. The surgeon will estimate how much breast tissue can be removed, and submit to your insurance for pre-authorization.Keep in mind that insurance covering surgery does not mean surgery will be free. Your out-of-pocket expenses depend on your deductible and copay amounts- this is something you will have to discuss with your insurance company. If you have a high deductible you could still have to pay several thousand dollars out-of-pocket, even if insurance covers the surgery.Best of luck to you!