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Will insurance cover breast reduction in a post-menopausal woman with recurrent yeast infections under the breasts?

Q:

I am 56 years old and had a complete hysterectomy at age 39.  I took Premarin for awhile but stopped about 10 years ago due to developing breast cysts.  I now get very painful yeast infections under my breasts because my skin has become fragile and dry (my breasts are size DD and very droopy due to age, etc.). I am not overly heavy - 159 pounds and 5'8" tall. What are the chances that insurance would cover reducing my breast size so that I don't get these infections anymore?

A:

First of all you have to contact your insurance to see if it is a covered benefit under your policy. If it is, then you can get a referral to a Plastic Surgeon for a consult. There are several criteria that should be evaluated by your surgeon. One of the main things that is required by insurance is a course of physical therapy.

R. Whitfield, MD

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