Does Medicaid Cover Breast Reduction?

Finding a surgeon who accepts a particular insurance can be accomplished by contacting the coverage provider.
The requirements are similar across the board regardless of which provider:
-Patients will need to demonstrate/document symptomatic macromastia: back/neck/shoulder pain; rashes in the folds beneath the breasts; bra strap grooving.
-Patients will also need to demonstrate failure of more conservative measures (weight loss, physical therapy, medical therapy)
-The weight resected will be determined by the Schnurr scale which is a function of BSA.With regards to your specific question, Medicaid will cover a medically necessary reduction for macromastia. The challenge will not be coverage but rather finding a provider who accepts Medicaid.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thank you for your question
You will need to call Medicaid to find out if breast reduction surgery is a covered benefit and what plastic surgeons participate with it. Best wishes!

Thank you for the question.

Medicaid has been known to cover breast reduction surgery. For multiple reasons,  most plastic surgeons that I know of to not work with Medicaid. I think finding a reputable plastic surgeon who will work with Medicaid will be the challenge you will face.

Best wishes.