How can I convince my insurance to cover a breast reduction?

Call your insurance company to see if a pre-authorization letter is needed for breast reduction surgery. Find out what documentation is needed by your regular medical doctor or a plastic surgeon in order to be considered for coverage or partial coverage.

Will insurance cover breast reduction if you are overweight?

Body mass index (BMI). Some insurance companies will deny breast reduction surgery unless the BMI is <30, others <35, while others need to see documentation that the patient has attempted to lose weight in the past through diet, exercise or weight loss surgery. This is because breast size may decrease with weight loss.

What size breast is considered for breast reduction?

By and large most women having a reduction go to a C cup and if you are a DD/DDD and go to a C, most likely more than 325 cc’s will be removed to create that size.

How much does a size DD breast weigh?

DD cups can weigh about 4.2 pounds for both of your breasts. If your bra size is a DD cup, each of your breasts may weigh at about 950 ml or 2.09 pounds. The size of your bra can also give you an idea of how much they weigh.

What is a good age to get a breast reduction?

Breast reduction is common among mature women 50-60 years old due to hormone changes and possible weight gain from menopause. A thorough evaluation is critical at any age to assess a patient’s health, skin condition, emotional maturity and goals.

Does UnitedHealthcare insurance cover breast reduction surgery?

Most UnitedHealthcare plans have a specific exclusion for breast reduction surgery except as required by the Women’s Health and Cancer Rights Act of 1998. See the Coverage Limitations and Exclusions section.

What is UnitedHealthcare choice plus?

UnitedHealthcare Choice Plus. With this plan, you can use any doctor, clinic, hospital or health care facility you want. You save money when you use the national network. You also have coverage if you use out-of-network providers.

What cosmetic procedures does UnitedHealthcare not cover?

UnitedHealthcare excludes Cosmetic Procedures from coverage including but not limited to the following:  Breast reduction surgery when done to improve appearance without improving a functional/physiologic impairment.  Liposuction as the sole procedure for breast reduction surgery.

What is a choice plus plan?

With this plan, you can use any doctor, clinic, hospital or health care facility you want. You save money when you use the national network. You also have coverage if you use out-of-network providers. Already enrolled in a Choice Plus plan?