A member asked:

How do i get a breast reduction covered on my insurance?

11 doctors weighed in across 3 answers

Letter: Frequently breast reduction is covered by insurance. Your best bet would be to consult with a plastic surgeon and have him/her write a letter requesting prior approval to your insurance company. www.associatedplasticsurgeons.com.

Answered 9/28/2016

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Persistence...: The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.
 Your plastic surgeon will help you through the process. Best wishes.

Answered 11/27/2017

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Dr. Ergun Kocak answered

Specializes in Plastic Surgery

If your breast size causes you any discomfort, you may ask your surgeon to give you a clinical summary letter citing a medical necessity for a breast reduction surgery. Your insurance provider will assess this and give you a response in about 1-2 months.

Answered 6/30/2022

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