Reducing The Burden: How To Get A Breast Reduction Approved By Insurance

How to Get Your Breast Reduction Covered By Insurance RealSelf News from www.realself.com

Breast reduction surgery is a major decision that many women make, whether it's for health reasons or purely cosmetic ones. However, the cost of the procedure can be a significant barrier for many women. Fortunately, some insurance companies will cover the cost of breast reduction surgery, but the process can be confusing and overwhelming. In this article, we'll explore the steps you need to take to get a breast reduction approved by insurance.

Step 1: Determine Your Eligibility

Before you begin the process of getting your breast reduction approved by insurance, you need to determine your eligibility. Insurance companies have specific criteria for covering breast reduction surgery, and if you don't meet the requirements, you may be denied coverage. Generally, insurance companies will cover breast reduction surgery if you meet one or more of the following criteria:

1. Chronic Pain

If you experience chronic pain in your back, neck, or shoulders due to the weight of your breasts, you may be eligible for insurance coverage. You will need to provide documentation of your pain, such as medical records or a letter from your doctor.

2. Skin Irritation or Infections

Breasts that are too large can cause skin irritation or infections. If you have a history of skin problems related to the size of your breasts, you may be eligible for insurance coverage.

3. Difficulty Performing Daily Activities

If your breast size makes it difficult for you to perform daily activities, such as exercising or finding clothing that fits properly, you may be eligible for insurance coverage.

Step 2: Gather Documentation

Once you have determined your eligibility, you will need to gather documentation to support your claim. This may include medical records, letters from your doctor, photographs, and a personal statement describing how your breast size is affecting your life.

1. Medical Records

You will need to provide medical records that show your history of chronic pain or skin problems related to your breast size. This may include X-rays, MRIs, or other diagnostic tests.

2. Letter from Your Doctor

Your doctor will need to provide a letter that explains the medical necessity of the breast reduction surgery. The letter should include details about your symptoms, how they are affecting your life, and why breast reduction surgery is the best treatment option.

3. Photographs

You may need to provide photographs that show the size of your breasts and any skin irritation or infections that you have experienced.

4. Personal Statement

You will need to write a personal statement that describes how your breast size is affecting your life. This should include details about your chronic pain, difficulty performing daily activities, and any emotional or psychological issues that you are experiencing.

Step 3: Submit Your Claim

Once you have gathered all of the necessary documentation, you will need to submit your claim to your insurance company. This may involve filling out a claim form and providing all of the necessary documentation.

1. Claim Form

Your insurance company will provide you with a claim form that you will need to fill out. The form will ask for information about your medical history, your symptoms, and your doctor's diagnosis.

2. Documentation

You will need to provide all of the documentation that you have gathered, including medical records, letters from your doctor, photographs, and your personal statement.

3. Follow-Up

After you have submitted your claim, you may need to follow up with your insurance company to ensure that your claim is being processed. You may need to provide additional information or answer questions about your claim.

In conclusion, getting a breast reduction approved by insurance can be a complex process, but it is worth the effort if you are experiencing chronic pain, skin irritation or infections, or difficulty performing daily activities due to the size of your breasts. By following these steps and gathering all of the necessary documentation, you can increase your chances of getting your breast reduction surgery covered by your insurance.

Step 1	Determine Your Eligibility
1.	Chronic Pain
2.	Skin Irritation or Infections
3.	Difficulty Performing Daily Activities
Step 2	Gather Documentation
1.	Medical Records
2.	Letter from Your Doctor
3.	Photographs
4.	Personal Statement
Step 3	Submit Your Claim
1.	Claim Form
2.	Documentation
3.	Follow-Up

Source: www.realself.com