American Society of Plastic Surgeons
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caseyrenee

7 days ago
Replies 2
Answered

Will my insurance cover the procedure?

I’m 20 years old, 4’11 and I weigh about 140 pounds with 34 DDD/ 32 F size breast. I have minimal back pain and I have never been to the doctor for back/shoulder/neck pain but constant pain when I try to exercise or I refrain from doing so, plus let’s not mention my self esteem. I need this procedure and I don’t know if my insurance will cover it.

All Replies

Aaron Stone Beverly Hills, CA
7 days ago
ASPS Surgeon

You need to look at your actual insurance policy as it should have a list of criteria for insurance coverage. If you meet the criteria, which vary between policies, they will cover the surgery. Those criteria usually require documentation of the duration of symptoms, a 3 to 6 month period of failed non-surgical treatment, physical findings like rashes or shoulder bra strap grooving and an estimate of a specific amount of tissue to be removed from each breast.

Nelson Castillo Atlanta, GA
6 days ago
ASPS Surgeon

Thank you for sharing your question. Best to get in touch with your insurance company, and your specific plan, to determine if a breast reduction is a covered procedure, and if so what are the criteria you need to meet in order to qualify. Once done, schedule a series of in-person consultations with physicians in order to get the best treatment recommendation.

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