If you’ve been considering a breast reduction, you may be surprised—and relieved—to learn that some insurance plans cover this life-changing procedure. Unlike most cosmetic surgeries, breast reduction is often classified as medically necessary due to the significant physical symptoms many patients experience.
At Lone Star Plastic Surgery, we understand how overwhelming the insurance process can be, and we’re here to walk you through every step.
Do Breast Reductions Qualify for Insurance?
Insurance companies may cover breast reduction surgery if it can be proven that the procedure is medically necessary rather than purely cosmetic. Common qualifying symptoms include:
- Chronic neck, shoulder, or back pain
- Painful shoulder grooves from bra straps
- Skin rashes or infections under the breasts
- Posture problems
- Difficulty with physical activity or exercise
- Numbness in the hands or arms
- Emotional distress or body image concerns related to size
Many women live with these symptoms for years, unaware that there’s a long-term solution—and that it might be covered.
What Do Insurance Companies Typically Require to Cover Breast Reductions?
Each insurance provider is different, but most require documentation of the following:
- A history of symptoms related to breast size
- Failed attempts at conservative treatment (physical therapy, weight loss, special bras, etc.)
- A recommendation for surgery by your doctor
- A minimum amount of breast tissue to be removed (varies by insurer and body size)
We’ll work with you and your referring physicians to make sure your case is presented clearly and thoroughly.
What if Insurance Will Not Cover Breast Reductions?
Even if insurance doesn’t approve coverage, breast reduction is still a highly worthwhile procedure that improves comfort, confidence, and quality of life. Our team can walk you through transparent, all-inclusive pricing and discuss financing options to make your goals more accessible.
Why Choose Lone Star Plastic Surgery?
Dr. Sean Hill is a board-certified plastic surgeon with years of experience helping women regain their confidence and physical comfort through expertly performed breast reductions. At Lone Star Plastic Surgery, we blend medical expertise with compassionate care—and we’ll be with you from consultation through recovery.
Call us at (214) 937-4879 or request a consultation online to find out if you qualify.
We’ll evaluate your symptoms, discuss your options, and begin the insurance preauthorization process if appropriate.
You deserve to feel comfortable in your own body—and we’re here to help make that happen.
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