January 25, 2008, Newsletter Issue #54: Understanding Breast Reduction and Insurance Coverage

Tip of the Week

For many patients considering breast reduction surgery the connection between breast reduction and insurance is a very important issue. This is such an important issue because a breast reduction procedure can be quite expensive and may not always be covered by insurance. The cost of breast reduction procedures can vary widely but will likely cost upwards of $5000. Whether or not your insurance carrier will cover the cost of your breast reduction surgery will depend on a number of factors including the terms of your insurance policy, the amount of breast tissue which must be removed as well as whether or not the size of the breasts are causing pain or other physical problems which can be proven to be related to the size of the breasts. The insurance company may require a letter from the surgeon specifying the reason for the breast reduction surgery before approving coverage for the procedure.

In most cases, breast reduction surgery for purely cosmetic reasons will not be covered by health insurance. This means patients who are simply dissatisfied with the size of their breasts and are not suffering physical ailments as a result of the size of the breasts will not likely be eligible for insurance coverage for the procedure. However, again this will depend on the specific insurance policies and the type of coverage the patient which the patient has under the policy.

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