Age and insurance

You should call your insurance company as different companies have different coverage rules. Good luck.

Age typically is not a reason they use for denials. They have a lot of other nonsense criteria

Thank you for your very excellent question. Before doing a breast reduction on someone your age, we want to confirm that you have completed growth. This is usually determined by doing a wrist x-ray to make sure you have completed what’s called “skeletal growth”

Based on what you wrote, your symptoms do qualify. However, every insurance company has their own requirements as what they consider insurance criteria for a breast reduction. It varies greatly with different insurance plans.

You need to call member services for your insurance company and figure out exactly what your requirements are

I serve on a committee for our local Blue Cross company and helped draft the policy language they use. As I have a large experience in breast reduction surgery they wanted my input. Their original language excluded anyone under the age of 18 but I pointed out that many younger patients (like you) can see significant benefit from the procedure. i won that arguement and they eliminated the age limit but their policy guidelines now ask for at least a year of stable breast size before considering breast reduction approval in younger patients. I think that makes sense, as you typically don't want to undergo breast reduction if your breasts are still growing. Hopefully, your local insurer has adopted a similar policy.

See your local plastic surgeon for consultation and they might better be able to tell you if they think the procedure is appropriate and help you with the insurance process. Good luck!