What health insurance covers breast reduction surgery

Medicare will cover breast reduction surgery when it’s medically necessary. Medicare won’t cover elective cosmetic breast reduction. You can get coverage under original Medicare or a Medicare Advantage plan if your surgery is deemed medically necessary. You can get coverage for breast reduction through Medicare in many cases.

What do insurance companies cover breast reduction?

Most insurance companies require a certain amount of breast tissue to be removed in order to qualify for coverage. Large reductions, such as from a G cup down to a C cup, are often covered. Breast reductions that remove at least 500 grams from each breast are frequently covered as well.

Will my insurance cover my breast reduction?

Generally, insurance will not cover a breast reduction if your reasons are cosmetic. While we are happy to perform a breast reduction for cosmetic reasons, this is considered a self-pay procedure. If you feel the size of your breasts is causing you pain, interfering with your ability to stand with good posture,…

Does insurance pay for a breast reduction?

For example, some insurance policies will pay 100 percent of the breast surgery. Some insurance companies will pay up to 80 percent and require you to pay 20 percent. Make sure you know up front any fees associated with having your insurance company pay for the breast-reduction procedure.

Does medical Blue Cross Insurance cover breast reductions?

Blue Cross Blue Shield generally will cover a breast reduction if you meet their criteria. Usually that includes, back and neck pain, rashes under the breasts , and large breasts (which are large enough). If you have the right symptoms but the breasts aren’t large enough, they may not approve the surgery.

What do insurance companies cover breast reduction?

Most insurance companies require a certain amount of breast tissue to be removed in order to qualify for coverage. Large reductions, such as from a G cup down to a C cup, are often covered. Breast reductions that remove at least 500 grams from each breast are frequently covered as well.

Do you think insurance would pay for a breast reduction?

Typically, health insurance companies will only cover the cost of breast reduction surgery if an individual’s enlarged breasts are causing health issues. Below are some of the most common reasons for medically necessary breast reduction procedures:

Will my insurance consider breast reduction?

In the case of breast reduction, however, for insurance purposes, it will typically be considered a cosmetic procedure until the patient can prove an adequate number of health issues and attempted remediations of those issues prior to undergoing corrective surgery.

Will straight Medicare cover the cost of a breast reduction?

If you need a breast reduction, Medicare may cover your costs. Keep in mind that: Medicare doesn’t cover cosmetic procedures. Medicare will cover breast reduction when it’s medically necessary.