Would I be eligible for a breast reduction covered by OHIP? (Photo)

Question

I am not sure what size my boobs are. I am 5'3, 140lbs and my boobs literally pull at my neck and shoulders. I get migraines to the point where I can't see in one or both eyes, my hands tingle. I have dents in my shoulders, go to chiropractor often for back and neck pain, I have a slight hunchback now lol.

Urmen Desai, MD, MPH, FACS · Answer

I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Scott C. Lindsay, DO · Answer

Hello and thank you for your question.
The best thing to do is to call your insurance company. Ask if Breast Reduction surgery is a covered benefit and what criteria you need to have to have it covered. Best wishes!

Gary M. Horndeski, MD · Answer

Unfortunately,
you have not told us your bra size. 
Frequently, insurance companies require certain amounts of volume
removed.  The technique I recommend is
The Bellesoma Method.  This will reduce
and reshape your breast tissue creating upper pole fullness without implants,
elevate them higher on the chest wall and more medial to increase your
cleavage.  The weight of the breast is
transferred to the underlying pectoralis major muscle resulting in pain relief without
excessive reduction.  Vertical scars are
avoided, nipple sensation and the ability to breast feed are maintained.  Dr. Mahmood Kara in Toronto performs this
technique.  Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear teesmithers,it is hard to tell for sure without an examination. There is a chance that your surgery will be covered by your insurance. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Steven Schuster, MD, FACS · Answer

I wish I could give you a yes or no answer but I can't.  Many insurance companies use something called the schnurr sliding scale which takes into account your height and weight to determine how many grams need to be resected from each side, and even then requires additional letters and photos.  Speak to a plastic surgeon in your area and then decide.  Good luck, Dr. Schuster in Boca Raton Florida.

Would I be eligible for a breast reduction covered by OHIP? (Photo)

Answers (6)

Answer: Breast reduction

Answer: Breast reduction

Answer: Every Insurance is Different - And becoming More difficult to get Approved

Answer: Every Insurance is Different - And becoming More difficult to get Approved

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Everything you need to know about Breast Reduction

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Would I be eligible for a breast reduction covered by OHIP? (Photo)

Answers (6)

Answer: Breast reduction

Answer: Breast reduction

Answer: Every Insurance is Different - And becoming More difficult to get Approved

Answer: Every Insurance is Different - And becoming More difficult to get Approved

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.