How Do I Begin The Breast Reduction Process? (With Wanting Insurance to Cover the Procedure)

I'm sorry to hear that your large breasts have been causing you physical discomfort.  Your first step should be to contact your health insurance company about their coverage for breast reduction surgery.  Each insurance company is different and has its own specific requirements.  They can also tell you whether or not a referral is necessary and which plastic surgeons in your area are covered under your plan.  It is a good idea to meet with your PCP.  Most insurance plans require it.  Your primary care physician will document your symptoms and check for physical findings like shoulder grooves and/or skin infections under your breasts.  They can also examine your breasts and make sure there is no underlying medical problem leading to your overly large breasts.  Most insurance companies require you to try non-surgical measures like physical therapy and non-steroid pain medications before they will consider covering plastic surgery and your PCP can help with that.  Your PCP can also make sure that you are a good surgical candidate.  Assuming you are still having discomfort after trying the conservative therapy, your plastic surgeon would submit the insurance pre-authorization letter.  Best of luck to you!

Whether or not you need a referral to see a specialist is determined by your insurance policy.Many these days do not require a referral but be sure to check your specific policy to be sure. The plastic surgeon would be the one to write the letter to the insurance company,but it is always helpful if you have letters from PCP,OB/Gyn or others you have seen for the symptoms. This procedure has  very high patient satisfaction,but be sure you follow the policy guidelines to have it covered.