SpineAZ

Insurance coverage for breast reduction is very dependent on the specific insurance plan under which you are covered. Every insurance company sells thousands of different policies, all with very different limitations and exclusions. The key to approval is that there must be medical necessity.

First get a copy of the exact plan under which you are covered and pay special attention to any area of the plan that talks about exclusions. Breast Reduction is very commonly noted as an exclusion. That means you may have an uphill battle on your hands.

Then see your primary care doctor and be prepared to discuss all of the physical symptoms and medical problems you are experiencing. Stay away from the non-medical necessity issues ("so my clothes fit better") and anything that can be construed as a mental health issue ("I'm depressed but this will make me feel better" will not play in your favor) Do stress, if it is applicable, that you find it increasingly difficult to maintain physical health due to inability to remain physically active, etc.

Seek out a qualified Plastic Surgeon via your primary care. Or, if your plan allows, do some of your own research to find a plastic surgeon who has extensive experience in this area of surgery.

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Rt&Lt thumb arthroplasty 2012 ; RT TKR & Bilat CTS 2011
Fusions: L5-S1 (87), L4-S1 (93), C5-C7 ('06), L3-S1 ('10)
C5-C7 foraminotomy 08