14 doctors weighed in:

Wondering if medicaid will cover a breast reduction due to chronic fungal infections under the breasts and no back pain I am desperate for a breast reduction while they are only 44 dd I am 26 yrs old and have had fungal / yeast infections under my breasts

14 doctors weighed in
Dr. Tom Pousti
Surgery - Plastics
6 doctors agree

In brief: Possibly…

Yes, breast reduction surgery is potentially “covered” through Medicaid.
Unfortunately, it may be difficult to find a well experienced board-certified plastic surgeon who still works with this organization, given the very low reimbursement and the bureaucratic challenges… Best wishes.

In brief: Possibly…

Yes, breast reduction surgery is potentially “covered” through Medicaid.
Unfortunately, it may be difficult to find a well experienced board-certified plastic surgeon who still works with this organization, given the very low reimbursement and the bureaucratic challenges… Best wishes.
Dr. Tom Pousti
Dr. Tom Pousti
Thank
Dr. Yash Khanna
Family Medicine
3 doctors agree

In brief: Going to be difficul

You may go to a teaching hospital clinic with residency programme in plastic surgery.
Most plastic surgeons i know in new jersey do not participate in medicaid programme and breast reduction without back pain is considered cosmetic and is not covered .But you can find a plastic surgeon in your state who accept medicaid and find out if medicaid will pay for it.

In brief: Going to be difficul

You may go to a teaching hospital clinic with residency programme in plastic surgery.
Most plastic surgeons i know in new jersey do not participate in medicaid programme and breast reduction without back pain is considered cosmetic and is not covered .But you can find a plastic surgeon in your state who accept medicaid and find out if medicaid will pay for it.
Dr. Yash Khanna
Dr. Yash Khanna
Thank
Dr. Craig Harrison
Surgery - Plastics

In brief: Medicaid

Medicaid coverage for breast reduction surgery will be decided by each individual state.
Coverage varies. You might ask your doctor for a referral to a local plastic surgeon for a consultation and i would bet their office could best answer that question for you. Breast reduction surgery can be very rewarding for both patient and surgeon. Best wishes.

In brief: Medicaid

Medicaid coverage for breast reduction surgery will be decided by each individual state.
Coverage varies. You might ask your doctor for a referral to a local plastic surgeon for a consultation and i would bet their office could best answer that question for you. Breast reduction surgery can be very rewarding for both patient and surgeon. Best wishes.
Dr. Craig Harrison
Dr. Craig Harrison
Thank
Dr. Robert Brueck
Surgery - Plastics

In brief: The

The majority of the time insurance wilkl cover it.
You need to have a certain minimum removed based on your body size.I would consult with a board certfied plastic surgeon who will examine you, take photos and then can write a letter of medical necessity to your insurance company to get prior approval.

In brief: The

The majority of the time insurance wilkl cover it.
You need to have a certain minimum removed based on your body size.I would consult with a board certfied plastic surgeon who will examine you, take photos and then can write a letter of medical necessity to your insurance company to get prior approval.
Dr. Robert Brueck
Dr. Robert Brueck
Thank
Dr. Clark Schierle
Surgery - Plastics

In brief: Medicaid

Medicaid will cover reduction mammaplasty (breast reduction) based on medical need.
Factors which contribute to medical necessity include the weight of the reduction (bigger is better), breast pain, neck/shoulder/back pain, bra strap grooves in your skin, and panniculitis (rash, skin irritation, odor, difficulty with hygiene) under the breast. Chronic fungal infections would definitely fall under the panniculitis category. As long as these infections are documented by your health care providers, you can show that they have not been stopped by using powders or creams and are truly the result of skin moisture from the large breasts, i would expect medicaid to cover your surgery.

In brief: Medicaid

Medicaid will cover reduction mammaplasty (breast reduction) based on medical need.
Factors which contribute to medical necessity include the weight of the reduction (bigger is better), breast pain, neck/shoulder/back pain, bra strap grooves in your skin, and panniculitis (rash, skin irritation, odor, difficulty with hygiene) under the breast. Chronic fungal infections would definitely fall under the panniculitis category. As long as these infections are documented by your health care providers, you can show that they have not been stopped by using powders or creams and are truly the result of skin moisture from the large breasts, i would expect medicaid to cover your surgery.
Dr. Clark Schierle
Dr. Clark Schierle
Thank
Get help from a real doctor now
Dr. Christopher Crosby
Board Certified, Dermatology
12 years in practice
93K people helped
Continue
108,000 doctors available
Read more answers from doctors