The surgeon must carefully remove the excess skin and glandular tissue before reshaping the remaining tissue and raising the nipples to a perkier position. Who performs your surgeryīreast reduction is considered to be relatively safe, but there are risks, from asymmetry and changes in nipple sensation to difficulty breastfeeding. Other factors that affect the cost of breast reduction surgery include: 1. Your insurance plan’s benefit structure is the biggest factor in how much you’ll pay out of pocket. What affects the cost of breast reduction surgery? Facility fees for the hospital or surgery centerĪlso ask if you’ll need to budget for prescription pain medications and any other recovery supplies, like a compression bra to reduce swelling.The consultation fee (which is often applied to the cost of your procedure).What’s included in your breast reduction cost?Īsk your plastic surgeon for a personalized, all-in cost quote for your breast reduction procedure, especially if you know you’ll be paying out of pocket. You’ll also need to make sure your preferred plastic surgeon is an in-network provider who accepts insurance coverage. Your plastic surgeon’s patient coordinator can assess your insurance benefits and estimate your responsibility, but you can also contact your insurance company directly to confirm the details of your benefits.Īnother factor to consider: having your insurance company cover the cost of breast reduction surgery gives them some say in how much breast tissue is removed and where the surgery is performed. Related: Is Your Breast Reduction “Medically Necessary”? Here’s How to Prove It to Your Insurance Company.Įven if your coverage is approved, keep in mind that your surgical procedure won’t be entirely free: you’ll probably still have a deductible and some type of copay. If you choose a plastic surgeon who performs a lot of breast reductions, their team should know the details of each insurance carrier’s plans and how to get your coverage approved. home remedies, like pain medication and support bras.You’ll also need medical documentation that those issues have resisted other treatment methods, which may include: grooves in your shoulders from your bra straps.Your policy should clearly outline criteria for coverage, but symptoms that typically support a claim for insurance or Medicaid coverage include: This means that you’ll need to have documentation of ongoing medical issues caused by overly large breasts, such as back pain that significantly affects your quality of life and makes normal physical activities difficult. How can you get breast reduction covered by insurance?īreast reduction (aka reduction mammaplasty) is covered by insurance and Medicaid if it’s deemed medically necessary, not just cosmetic surgery. Interested in a breast reduction? Find a Doctor Near You
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