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Miguel A. Delgado, Jr., M.D.
- Suite 300
165 Rowland Way
Novato, CA 94945 - Tel: Click for phone number
- Fax: 415-897-4664
- Send E-mail
- www.dr-delgado.com
- 450 Sutter Street
Suite 2433
San Francisco , CA 94108 - Tel: Click for phone number
- Send E-mail
Answered Questions
Q:
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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?
A:
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!