Have recently had a breast reduction and your insurance covered it?

Question

I am looking for someone who has so that I can correspond with them and get advice from, while I am tyring to get my insurance company and doctor's office to cooperate.

Answer 1

I'm 2 years post-op from my breast reduction. I had it done when I was 19 years old, and was when I stopped measuring because I gave up a 40DD. Most insurances recognize how painful and stressful larger breasts can be on your body. You should meet with a couple of plastic surgeons (unless you've already picked your doctor) and ask them how much you think they'll take off each breast. Typically for most insurances it's around 500g per breast, which really is not that much. You need to talk to your insurance company and find out if they'll cover your doctor and what they require as a minimum. Most plastic surgeons fully understand what you're going through and they will work to help you. Hope that helps. Good luck, and trust me...it is SO worth it!

Answer 2

I had my reduction done Feb 2006.

My insurance covered 100% of the cost, though some people's insurance only covered 60-100%.

The PS will take pictures and write down all of your symptoms.

Depending on how picky your insurance company/plan is, you may need "proof" (chiropractor, etc) of why you need a reduction.

Mine only needed my pictures because I was that big.

They required 600 grams TOTAL from my breasts, and they took 1263grams from my right and 865grams from my left breast (almost five pounds! way over what they wanted out).

This site is a great source for research and before/after surgery:

http://www.breasthealthonline.com
38J to 38C Feb 2006

Edit: NOTE! If you get denied, APPEAL! Appeal till you wear them down.

Answer 3

I have had one. My insurance covered it because of how large my breasts were. There was a minimum size they had to be for the insurance company to make it "medically necessary"

Answer 4

No "personal" experience, but a step-niece had enormous breasts once she developed (double e's or more) and insurance paid for her reduction because it was causing problems with her posture and horrible pain from the extra weight.

Perhaps try that route?

Answer 5

if you do it for medical reasons and not cosmetic reasons, your doctor should authorize it and insurance should cover it.