American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Insurance Coverage

I have been feeling discomfort (back and shoulders pain) because of my breast for a long time. After my car accident in October 2019, my back pain got worse. I went through physical therapy from October to January 2020. I am wondering if my insurance would cover the cost. I want a professional opinion before going through the process. I cannot afford to get rejected, I really need this surgery.

Procedure: Breast Reduction
Location: Rockville, MD

Replies 2

Nelson Castillo

Thank you for sharing your question. The first step is to check with your insurance plan to ensure that they cover a breast reduction. If they do, obtain the criteria needed to be approved and be sure you have accomplish most of them. At that point seek out a consultation from an ASPS board certified surgeon. Hope this helps.

Katerina Gallus
ASPS Surgeon
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Hello and thank you for your question. Most insurance companies cover breast reduction surgery but have basic requirements that must be met for pre-authorization. I recommend you check with your insurance carrier regarding those requirements as well as any co-insurance or deductible you may need to pay. A consultation with a board-certified plastic surgeon who takes your insurance will be able to assess you as well and help you determine if you are a candidate. Best of luck!


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