Is Breast Reduction Surgery covered by Insurance?

Several women feel an extra burden with heavy breasts. Aside from the aesthetic concern, heavy breasts can also cause physical discomfort, like neck pain, upper body pain, skin rashes and difficulty participating in physical activities.

In such cases, breast reduction surgery in Delhi might be the only solution you are looking for. If you are considering breast reduction surgery, you might be thinking about the cost of the surgery and whether your insurance company will cover it.

Don’t worry! We have got you covered. Keep reading to know when does insurance cover breast reduction surgery.

When is Breast Reduction Surgery Covered in Insurance?

It depends!

In general, insurance companies consider this procedure covered in insurance when it is regarded as a medically necessary procedure to address certain health issues or conditions related to overly large breasts. Also, you have tried non-surgical approaches like diet, exercise, and weight loss without any success. Some common medical reasons that may make breast reduction surgery eligible for insurance coverage include:

Chronic Pain: If you are experiencing choric pain in your neck, back, shoulder, and upper body due to heavy breasts, then a plastic surgeon may recommend this procedure.

Skin Irritation and Infection: Rashes, skin irritation, or recurrent infections under the breasts can be considered medical issues, and it may be covered to address these problems.

Posture Problems: Large breasts can sometimes lead to poor posture, which can cause additional health problems. In such cases, insurance may cover breast reduction surgery as a medically necessary procedure.

Difficulty in Physical Activities: Women with overly large breasts may find it challenging to participate in physical activities or exercise, and this limitation could be considered a medical reason for breast reduction surgery.

Remember, the coverage of breast reduction surgery can vary significantly depending on the individual’s insurance plan, the insurance company’s policies, and the specific documentation provided by the healthcare provider. To determine if it is covered by insurance, it is essential to check with the insurance provider directly and contact a qualified plastic surgeon in Delhi who can provide documentation and evidence supporting the medical necessity of the procedure.

When is Breast Reduction Surgery Not Covered in Insurance?

This procedure may not be covered by insurance in certain situations, even if an individual believes they have medical reasons for undergoing it. Some common reasons why insurance might not cover breast reduction surgery include:

• The surgery is performed to enhance the aesthetic appearance of the breasts and does not address any functional or physiological impairments.
• The surgery does not prioritise the improvement or restoration of the physiological function of the breasts.
• Breast reduction fails to meet the criteria for being classified as a reconstructive procedure.
• The reduction procedure solely relies on liposuction as the method of breast size reduction.

If you are considering breast reduction surgery in Delhi, look no further than Dr Lokesh Handa, a board-certified plastic surgeon in Delhi. He will guide you through this procedure and provide paperwork and proof to substantiate the procedure’s medical necessity.