I am 17, 235 lbs, 5'5 and I wear a 38 JJ. I have constant discomfort, from neck, shoulder, and back pain, as well as bruises from the grooves that my bra's cause in my shoulders. Big breast run in my family and I believe that my breast are also the cause for my weight problems because my breast are very unproportioned to my body.
December 8, 2014
Answer: Insurance covered breast reduction This is a tricky question because it has to do with both your anatomy AND your insurance company. A lot of insurance companies are requiring certain documentation of having medical issues secondary to macromastia (large breasts). This can include, but not be limited to chronic fungal infections, back pain, shoulder grooving, etc.. They may also want to you see you fail other non-invasive modalities like physical therapy prior to giving you approval. Finally, most insurance companies are using BMI to determine a minimal amount of resection that would be authorized. The higher the BMI, the more they expect to be removed. This proves to them that this procedure is really being used as a functional surgery more than a cosmetic surgery. Your BMI is about 39 so you would need to check with your surgeon to make sure that he/she would leave you with a cosmetically pleasing breast despite having to remove so much tissue. You did not include any pictures, but if you are really a 38 JJ then your surgeon should not have a problem resecting the minimal amount and may even take off more to help relieve your symptoms. You should find a reputable board certified plastic surgeon in your area who has experience with breast reduction surgery.
Helpful
December 8, 2014
Answer: Insurance covered breast reduction This is a tricky question because it has to do with both your anatomy AND your insurance company. A lot of insurance companies are requiring certain documentation of having medical issues secondary to macromastia (large breasts). This can include, but not be limited to chronic fungal infections, back pain, shoulder grooving, etc.. They may also want to you see you fail other non-invasive modalities like physical therapy prior to giving you approval. Finally, most insurance companies are using BMI to determine a minimal amount of resection that would be authorized. The higher the BMI, the more they expect to be removed. This proves to them that this procedure is really being used as a functional surgery more than a cosmetic surgery. Your BMI is about 39 so you would need to check with your surgeon to make sure that he/she would leave you with a cosmetically pleasing breast despite having to remove so much tissue. You did not include any pictures, but if you are really a 38 JJ then your surgeon should not have a problem resecting the minimal amount and may even take off more to help relieve your symptoms. You should find a reputable board certified plastic surgeon in your area who has experience with breast reduction surgery.
Helpful
December 8, 2014
Answer: Do I qualify for a free or a low cost breast reduction? Based on your description of your symptoms, your height and weight, and your breast size, it sounds like you will be a candidate for a breast reduction. But remember, only an actual consultation with a Plastic Surgeon can determine the final answer to that question.To answer your financial question, it all depends on what type of health insurance you currently possess. Medicaid, Medicare, and private insurance will all cover a breast reduction if your surgeon feels it is indicated and all of the proper paperwork is submitted (sometimes you will need notes from your primary care doctors, etc). If your surgeon does not accept any of the insurance that I listed, then you will need to pay out of pocket for the surgery. You can call the Plastic Surgeon's office and ask them what insurance they accept, and if they accept yours, make an appointment. Best of luck!
Helpful
December 8, 2014
Answer: Do I qualify for a free or a low cost breast reduction? Based on your description of your symptoms, your height and weight, and your breast size, it sounds like you will be a candidate for a breast reduction. But remember, only an actual consultation with a Plastic Surgeon can determine the final answer to that question.To answer your financial question, it all depends on what type of health insurance you currently possess. Medicaid, Medicare, and private insurance will all cover a breast reduction if your surgeon feels it is indicated and all of the proper paperwork is submitted (sometimes you will need notes from your primary care doctors, etc). If your surgeon does not accept any of the insurance that I listed, then you will need to pay out of pocket for the surgery. You can call the Plastic Surgeon's office and ask them what insurance they accept, and if they accept yours, make an appointment. Best of luck!
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