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Will Insurance Cover My Breast Reduction?
There are many different health insurance companies, and there are even more insurance policies that have different restrictions and terms that can determine whether or not your breast reduction surgery will be completely, partially, or not covered.
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For many women, breast reduction is necessary reconstructive procedure that is performed to correct breasts that have over-developed and are causing painful symptoms in other parts of their body.
Female Breast Hypertrophy, or Macromastia, is a medical condition that causes women to develop abnormally large breasts. When breasts develop to an extremely large size, their weight can cause serious, adverse symptoms, such as persistent shoulder, neck, back, and trunk pain. Macromastia can inhibit women from performing different activities, and it can be incredibly embarrassing for many women.
Although breast reduction is a necessary, reconstructive procedure for many women, for some women, it is performed for strictly cosmetic reasons, and not to correct any symptoms. Depending on whether you are having breast reduction surgery to correct macromastia or to improve your physical appearance is one of the biggest determining factors for insurance companies.
Assuming your insurance company covers reconstructive surgery, you will need to show them that breast reduction surgery is a medically necessary procedure that you need to have performed in order to correct your overdeveloped breasts. You will also need to follow all the guideline set forth by your insurance policy to receive any coverage for the breast reduction surgery.
Although there are many different insurance policies with different guideline and procedures that you need to perform, you will most like have to do the following:
- Have pictures taken of your breasts both to demonstrate their preoperative state and to aid the surgeon in planning and performing your surgery. The photographs may also show the physical results of your overdeveloped breasts.
- Write a letter to the insurance company detailing your condition, the symptoms you are suffering from, and why breast reduction is necessary for you.
- Medical documentation of your condition will have to be supplied by your surgeon. This should include your medical history of symptoms from overdeveloped breasts and the clinical signs and symptoms that are going to be alleviated through breast reduction surgery.
- Medical documentation of the amount of breast tissue that will be removed from the breasts during the breast reduction surgery.
One of the best things you can do if you are considering breast reduction surgery is to speak with your insurance company frequently while you are researching the surgery. You want to be very clear on all the medical costs they will and will not cover, if any. Depending on your insurance policy, you may only have part of your breast reduction surgery covered.
Another way you can determine the likelihood of your insurance policy covering your breast reduction surgery is to schedule an initial consultation with Dr. Delgado. During your initial consultation Dr. Delgado will be able to determine if you are suffering from macromastia and if you need breast reduction surgery performed.
Our skilled patient coordinator will also help you review your insurance policy and determine all the necessary steps that you need to take in order to have as much of your breast reduction surgery covered as possible.
Contact Dr. Delgado in San Francisco, California to schedule your initial breast reduction surgery consultation. Dr. Delgado can help correct the size of your breasts, so that you can live your life without painful symptoms or embarrassment.