Miguel A. Delgado, Jr., M.D.
- Suite 300
165 Rowland Way
Novato, CA 94945
- Tel: Click for phone number415-898-4161
- Fax: 415-897-4664
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I am 67 years old and have very large breasts and severe back pain. My bra size is 44 DD. Would insurance or medicare cover the cost of breast reduction in my case?
It is very possible that your medical insurance would cover your surgery. However, you need to read your policy or talk to your insurance carrier to see if it is a covered procedure. Most insurance companies that do cover a breast reduction have the same criteria that they are looking for. They will want verification from your doctor as to what your symptoms are, such as: back and neck pain, shoulder grooving from your bra straps, possibly rashes under your breasts. They will want to know what you have done to alleviate the symptoms, such as: diet and exercise, using a good support bra, and physical therapy. If nothing helped your symptoms and you have a minimum of 500 grams of breast tissue to be removed from each breast, then you should be a candidate. Your surgeon's office will know how to help you get approval with your insurance company. You probably will not be able to find a surgeon that will accept Medicare for payment as their reimbursement is very low. Good luck!