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I need a Breast Reduction. Will my insurance pay?

Insurance coverage for a Louisville Breast Reduction is dependant upon several factors.

First, there must be an element of medical necessity. In other words, you have to have symptoms. They want to know if you have a history of neck, shoulder or upper back pain, shoulder grooving, or rashes under or between your breasts. Insurance companies do not care if you can’t buy a bathing suit, if you are self-conscious, or can’t exercise.

The second critical factor is how much weight we predict can be removed from your breast. The minimum amount is determined by your height and weight. These two numbers are plugged into a formula and out comes a number called your Body Surface Area. For each BSA there is a corresponding amount of breast tissue that must be removed. Since your height doesn’t change, what this means is that the more your body weight, the more we have to remove.

It seems to change all the time, but at least for today, if you have symptoms and we can get enough off to satisfy the BSA chart, you will probably have coverage.

Lee Corbett, MD


All posts on this blog are presented by Louisville Breast Reduction expert, Dr. Lee Corbett.

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