This is the number of searches you have performed with ecosia. This is the number of searches you have performed with ecosia. This story is just an example of why its so important for patients to do their homework regarding their insurance coverage for any surgical procedure before seeing a surgeon. The answer to is breast reduction surgery covered by health insurance? Can be very complicated and involve many variables. If you are thinking about a breast reduction operation, youre likely wondering how to get your breast reduction covered by insurance. There is a specific process you can go through, which involves both a surgeon and your insurer. Well take you through the steps of getting insurance coverage for breast reduction surgery. Breast reduction patients pre-pay the physician fee of 4500 for breast reduction surgery. Pre-authorization is not a guarantee that your insurance company will ultimately pay for the procedure. For successful claims, the insurance reimbursement will likely not cover the full cost of the procedure, so you should budget some out of pocket expense. Breast reduction surgery and health insurance coverage (q&a). My breast reduction story & how i got my insurance to pay for it. Breast reduction story part one! How to get your insurance company to approve it. Will insurance cover your breast reduction? Watch and find out. How to get your insurance to cover plastic surgery after weight loss. Breast reduction surgery - your insurance may cover this procedure. Some insurance companies no longer provide coverage for breast reduction surgery. Check with your insurance provider and hr department for the specifics of your individual plan. You will most always be required to prove that you have concerns that may be alleviated with breast reduction surgery. The most common desire among women today is a reduction in their overall body weight. Women today realize that there are a number of issues connected with obesity. As i explained in my previous post, large breasts (macromastia) can cause physical problems that interfere with a womans daily functioning. If you are considering breast reduction surgery, first read your insurance policy. If your insurer lists reduction mammaplasty as a policy exclusion, you may not even get coverage for a consultation to discuss whether surgery is appropriate for your. If your insurance company does not pay what you feel they have agreed to cover according to your insurance plan with them, you may check into grievance procedures, ask them to reprocess the bills or to reconsider their decisions on coverage. On the subject of whether or not your health insurance provider will cover your breast reduction procedure, this will differ depending on the health insurance company and their breast reduction requirements. There is such a thing as medically necessary breast reduction. Breast reduction is unique among plastic surgery procedures because it is one of the few treatments that can be considered medically necessary. Many insurance companies will offer coverage if breast reduction can be categorized as medically necessary for the patient. Insurance companies need to be convinced that breast reduction is medically necessary. Insurance companies need to be convinced that breast reduction is.