Question:
Does insurance cover breast lift?

For those who have had a breast lift, or reduction, did your insurance cover it? What did you have to have recorded in your medical records to get them to cover it? I'm still pre-op (hopefully not much longer..lol) and I'm trying to get as much info on everything I can get. Thank you :-)    — KellyJeanB (posted on February 1, 2003)

February 1, 2003
Hi. Some insurance companies will cover a breast reduction if it is medically necessary--usually (I believe) if the woman has back problems because of her large breasts. If you have a history of medical problems like this, it's possible to get insurance to cover it. Good luck!
   — Sarah S.

February 2, 2003
My insurance company paid for my breast lift (I have federal bc/bs). I don't know what codes the doctor used in submitting it, but on the day of surgery I read a little of my chart and saw the words ptosis and deformity. My insurance company will not preapprove any surgery, so I knew I would have to pay if they later denied. The funny thing is at the same time I had a tt done with hernia repair and they denied that as cosmetic! I'm appealing now.
   — Lisa N M.

February 2, 2003
Mine was covered by insurance. I had letters from my chiro and GYN, but my PS didn't use them. He said he would save them for an appeal if needed. The photos speak volumes and the same problems apply to pendulous breasts as in large breasts. I always had very large heavy breasts and after wls they deflated and headed south, but I still had the same problems as before. My doc wrote that "she doesn't want them any smaller, just put in the place they need to be"
   — ZZ S.