Will Breast Reduction Be Covered by Health Insurance?

One of the most unexpected “roadblocks” for patients considering surgery is their health insurance. Many patients are well into the process of planning for surgery – researching surgeons, enduring (sometimes multiple) consultations and examinations – before discovering that their insurance policy will not cover the procedure they require. This is especially true for women desiring breast reduction. In many cases, the size of a woman’s breasts can significantly hinder her ability to work, exercise, even to care for her family. The weight of excessively large breasts can cause pain in a number of seemingly unrelated areas. After years of wearing “industrial-style” support bras, grooves begin to develop across the upper shoulders, putting a strain on the muscles, often resulting in headaches and neck pain. The delicate skin under the breasts can become inflamed or infected. Chronic lower back pain is another common complaint as women attempt to shift their weight to compensate, affecting their posture. Many women seek relief through chiropractic treatments, acupuncture, and/or physical therapy. Some are forced to obtain prescription medication for muscle relaxants or pain relievers, which can be addictive if used long term. Additionally, there is an emotional toll taken as women wrestle with a poor self-image and feelings of shame or embarrassment because of their breasts. To make your appointment less stressful, it is helpful to consider the following before setting up a consultation for a breast reduction:

Considering the symptoms, risks and potential consequences related to this debilitating condition, many people assume their insurance policy will cover “reduction mammaplasty” to reduce the size of their breasts. Unfortunately, this is too often not the case. Insurance companies typically deem the procedure strictly “cosmetic”, and therefore not medically necessary. Denver plastic surgeon Dr. Slenkovich and his staff have seen the grief and discomfort this condition causes. 

Most insurance plans also require that a certain amount of breast tissue be removed, therefore controlling the surgical plan. Colorado Plastic Surgery Center is not contracted with any insurance plans, choosing instead to work directly with patients without third-party interference in their medical decision-making. This allows patients to get the surgeries they desire without delay or interference. We also believe that patients should have the freedom to choose their plastic surgeon based on a variety of factors such as results, education, and training - not on who their insurance plan says they have to go to. 

We recognize that this can be a big investment, so we are happy to assist you in obtaining financing for this procedure. Colorado Plastic Surgery Center provides comprehensive, all-inclusive surgical quotes for all breast surgery procedures. In terms of cost, there are a number of financing options available, so cost does not have to stand in the way of giving yourself something you’ve wanted for a long time.