Will insurance pay for my breast reduction?

Dr. Elif E. Oker, MD
Medical Toxicology

It depends. Typically if breast reduction is covered, it is covered in situations where there is a medical reason supporting the medical necessity of the procedure. Breast reductions to enhance appearance are usually considered cosmetic. But each insurance plan is different. A person considering breast reduction needs to check with their insurance company to understand their policy and exactly what it covers.

For a majority of patients insurance companies do cover breast reduction surgery. Learn more from Dr. Michael Howard on behalf of NorthShore University HealthSystem.

Stuart A. Linder, MD
Plastic Surgery
Insurance may pay for your breast reduction depending upon the amount of tissue that will be removed. Each policy has exclusions, limitations, and requirements of breast tissue removal in gram weight per breast. In general, larger reduction mammoplasties are covered to alleviate back pain, neck strain, grooving of the brasierre along the shoulders, and rashes under the breasts. Documentation and photographs are often required during the preauthorization process. 

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.