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Do I qualify for a breast reduction and will my insurance cover the procedure?
I'm 20 years and my bra size is DDD cup. There are a few health issues that are starting to concern me: 1) shortness of breath 2) my breasts become sore when not wearing a bra 3) pain in lower back, neck, shoulders has become more intense. I have an altered disc in my lower back and a large amount of muscle mass in my chest due to the weight of my breasts. I'm curious to know if a breast reduction would be the right choice for me? Also, if my health insurance would most likely approve of the procedure?
Consider starting by calling your Insurance Carrier to see if Breast Reductions are a covered service. If they are ask for the list of their requirements for your Breast Reduction to be payed as a covered service & a list of plastic surgeons that take/ accept their/ your insurance plan. Then, consider a consultation with an ASAPS Member in your area that is on your insurance carriers provider list to address your concerns.
Gary R Culbertson, MD, FACS
Thank you for your question. Your breast are most like large enough to qualify for a breast reduction. The insurance company usually requires your breast size to be at least a DD. You did not include your height and weight and this sometimes play into their decision for approval. However, it is very difficult to say if your body symptoms will go away. Consulting with a board certified plastic surgeon to provide a through evaluation. Then he/she can help you decide if a breast reduction is the right choice for you.