I am 32, 32ff cup, weigh 140, bmi of 22. my back, neck, and shoulders are in constant pain. how can i get pre approval for surgery? i have aetna marke

Difficult: The insurance company will do all in its power to define this as a cosmetic alteration which they will not cover. Your physician, a physical therapist and perhaps you OB-GYN can send letters in support of the need for breast reduction as a physical necessity. Occasionally this will convince them to provide coverage, but it is an uphill battle. Good luck.