How do I get my doctor to recommend a breast reduction so it can be covered by my insurance?

Does your insurance require that you have a referral from your doctor to see a plastic surgeon? If not, see a Board Certified Plastic Surgeon that specializes in breast surgery to help you get authorization from your insurance. If you are required to get a referral from your doctor, get one of your parents to help you convince your doctor that you are serious about wanting to get this done. In the meantime, you might want to check and see if your insurance company covers breast reduction, not all insurance companies do. Secondly, you will need parental approval until you are 18, so take one of your parents with you for your consultation. Good luck!

     You can begin by contacting your insurance company to see if breast reduction procedures are covered by your plan and what deductibles or percentage of the surgery cost may be part of your cost share.  It is possible to self refer to a plastic surgeon by calling his/her office directly to make an appointment.     Criteria needed for a breast reduction to be covered by insurance may include amount of tissue to be removed, height and weight ratio, complaints of rashes and back and/or neck pain, with photos submitted as support.  Once you have met with the plastic surgeon his staff should be able to determine what your plan will cover and help you obtain the documentation needed.     My breast reduction patients are very happy after their surgery and find they are able to exercise more easily, feel healthier and wear clothes more confidently. Good luck in pursing your goal!