What is a Breast Reduction?
Breast reduction surgery, also known as reduction mammaplasty, is a procedure designed to reduce the size and weight of the breasts by removing excess skin, fat, and breast tissue. The breasts are then reshaped to create a more proportional and youthful appearance. While some patients seek breast reduction for cosmetic reasons, the majority undergo this surgery to address functional issues such as chronic back, neck, and shoulder pain, poor posture, and limited mobility. Many patients experience immediate relief from these symptoms following the procedure, which can significantly enhance their quality of life and confidence.
If you’re considering a breast reduction, you might be wondering, “Does Insurance Cover a Breast Reduction?”
Insurance Coverage for Breast Reduction Surgery
To determine if your breast reduction surgery qualifies for insurance coverage, complete the Breast Reduction Checklist provided on this page. If you meet the necessary criteria, the procedure may be deemed medically necessary by your insurance provider.
Key Points to Consider:
- Consultation Requirements:
- Once you’ve completed the checklist and confirmed you meet the criteria, contact our office to schedule a consultation. During your appointment, we’ll review your medical history and discuss your options.
- The Schnur Scale:
- Insurance companies often use the Schnur Scale to determine the amount of breast tissue that must be removed for the surgery to qualify as medically necessary. If the required amount of tissue is not met, the procedure may not be approved.
- Financial Responsibility:
- Please note that if you have a co-pay or deductible, you will be responsible for covering these costs.
Additional Cosmetic Options
For patients interested in addressing other areas, liposuction along the bra line can be performed at the same time as your breast reduction. While this procedure is cosmetic in nature and not covered by insurance, it can help eliminate fat or skin that hangs over the bra line, providing a smoother contour.
If you’re considering this or any other cosmetic procedure, our Patient Care Coordinator will gladly assist you in exploring your options and scheduling a consultation.
Breast reduction surgery can be life-changing, both physically and emotionally. Contact us today to learn more about how this procedure can help you feel more comfortable, confident, and free.
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