Will Medicare Cover Breast Reduction for a 60 Year Old?

I think Dr. Whitt has summarized the salient points excellently. It is likely that your procedure will be covered. The next decision is if your medical health is optimized. The third issue is a matter of risk assesment and you willingness to accept possible complications as a tradeoff for the potential benefits.

Unfortunately Medicare does not pre-approve anything.  If you meet the generally accepted criteria then most likely Medicare will pay but there is no guaranty.  You should have medical clearance from your cardiologist prior to even considering a breast reduction.   

Thank you for the question.


Given your description, it is very likely that Medicare will cover each breast reduction procedure. Consultation with a well experienced board-certified plastic surgeon will be helpful. Also, consultation with your cardiologist should also be  considered for a full workup prior to surgery.




Best wishes.

Each insurance carrier has different criteria for pre-approval of a breast reduction. You should check with your insurance carrier. Check with medicaid
 

Yes, Medicare will cover breast reduction if you meet their criteria. A predetermination letter with photos can help you achieve the ok for the surgery. Your main issue is if you are medically cleared to under go this operation or any operation. Please ckeck with your primary and cardiac docs.