I would like to have a breast reduction. I’m currently a 40DDD. In order for insurance to cover the procedure, what size would I need to go down to?
A: Breast reduction and insurance
In order for breast reductions to be covered by insurance, several criteria need to be met. Patients must have a documented history of symptoms, such as neck and back pain, and show some type of treatment for this issue (pain medication, physical therapy, acupuncture, etc.). Also, the insurance companies will require photographs of the patient and a medical letter of necessity written by the plastic surgeon. The insurance companies also need to see about 500 gms of tissue removed from each breast in order for them to cover the procedure and deem it “reconstructive” and not “cosmetic”.
If you are a DDD cup size now, you’d likely need to be downsized to a D in order for your procedure to be covered under insurance. Each insurance policy varies greatly, and you should consult with a board-certified plastic surgeon prior to planning this procedure.