Insurance for breast reduction

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Many insurers will cover your breast reduction surgery if your referring doctor says it's necessary for your well-being. For example, if you have backaches, neck pain or migraines. Breast reduction surgery is usually included in top-tier policies, but you may find it included in some mid-tier policies too.

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For up-to-date information on procedure costs, see the Average Costs page. Archived questions on Surgery. With a weight of and height of 5'7" and a bra size of 34G, would insurance likely pay?

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Altering your body in any way is a difficult and personal decision that Americans face each day, and breast reduction surgery is no exception. Which begs the question, is it covered by your health insurance? Also known as reduction mammaplasty, breast reduction surgery is a procedure that can be performed only via surgery, and only from a board-certified plastic surgeon.

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Overly large breasts can cause health and emotional problems for some women. In addition to self-image and emotional issues, women may experience physical pain and discomfort, and the weight of excess breast tissue can impair their abilities to complete normal daily activities. A breast reduction, also known as reduction mamlasty, is a surgical procedure that removes excess breast tissue through incisions made on the breasts. Breast reduction is a highly individualized procedure.

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Need an appointment? Fill out our appointment request form and we'll call you to set it up! Women who suffer from very large breasts often feel self-conscious and experience back, neck and shoulder problems, skin irritations, difficulty breathing, discomfort while exercising, and may even have bra indentations in their shoulders.

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I recently saw a female college student as a new patient consultation in my office concerning possible breast reduction surgery. This procedure, also known as reduction mammaplasty, is indicated for the treatment of symptomatic macromastia large breasts. The commonly reported symptoms related to macromastia are neck, shoulder and back pain caused by the weight of overly large breasts upon the musculoskeletal system.

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Many insurance carriers continue to deny coverage for reduction mammaplasty unless a minimum amount of resected breast tissue per breast is achieved during surgery. A retrospective review was performed on patients with bilateral symptomatic macromastia who sought consultation for breast reduction surgery from to Relevant demographic information, mean predicted resection weight, and the mean actual resection weight were collected for analysis.

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Read on to learn what to expect if you choose to have a breast reduction and why Penn Plastic Surgery is a leader in the region. Breast reduction surgery, also called reduction mammoplasty, removes excess breast tissue and skin to create a breast size and shape that is more proportionate to your body. The benefits of a breast reduction include relief of back, neck and shoulder discomfort, increased ability to exercise and higher satisfaction with your appearance.

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Patient Portal. In addition, most insurance companies use a scale based on height and weight to determine the minimal amount of breast tissue to be removed to qualify. The blood supply to the nipple and breast tissue comes through the breast.

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Reduction mammoplasty for asymptomatic members is considered cosmetic. Aetna considers breast reduction surgery medically necessary for non-cosmetic indications for women aged 18 or older or for whom growth is complete i. Note : Breast reduction surgery will be considered medically necessary for women meeting the symptomatic criteria specified above, regardless of BSA, with more than 1 kg of breast tissue to be removed per breast.

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