Is A Breast Reduction Covered By Insurance?

Breast reduction and health insurance

It is universally believed by patients that if a surgery is considered reconstructive, it is medically indicated and covered by health insurance.

Conversely, many patients believe if a procedure is considered cosmetic, it is not a medically indicated and covered procedure.

How much does a breast reduction cost with insurance?

Prices will be different, but the national average for a breast reduction procedure itself (not including hospital stays or anesthesia costs) is around $7,000 – $8,000 out-of-pocket before insurance is applied. Again, that price may be different based on your coverage level and out-of-pocket maximum.

Does insurance cover breast reduction for back pain?

Some insurance companies cover some or all of the costs of breast reduction surgery if surgery is being done to relieve back pain, skin problems, or other medical problems caused by large or heavy breasts.

Is Breast Reduction painful?

After breast reduction surgery, you should expect to feel tired and to have breast pain. This is normal. Your surgeon will give you an oral painkiller to ease you through the first few days after surgery.

Is breast reduction covered by Cigna Insurance?

Coverage for reduction mammoplasty varies across plans. Please refer to the customer’s benefit plan document for coverage details. Breast reduction surgery on the nondiseased/contralateral breast when performed to produce a symmetrical appearance following a mastectomy or lumpectomy is considered medically necessary.