Re: how to get insurance to pay for breast reduction
Most insurance companies cover a reduction if the surgeon removes at least 454 grams of tissue on ONE breast - or one pound. Your doctor should have given you a range in the consult. Also make sure you include any physical therapy or back pain meds you've received in the past and for how long.
I know about removal of 11 lbs off a woman's breasts, and her insurance denied it stating she was just overweight....go figure. She was a morbidly obese woman, but the large breasts were STILL causing back pain. They can always come back to deny it later so be careful. The breast tissue is sent to a lab and can be deemed just fatty tissue. They use all sorts of reasons and sometimes site the overweight issue - that's why they ask you for your height/weight preop to the insurance company from your doctor's office.
Last edited by Administrator; 03-22-2008 at 09:18 AM.
Reason: Read the rules.