Question:
Has anyone gotten Insuracne to pay for a breast alterations?

This is a very real concern of mine too. No matter what I have weighed over the years my D-cup has served me well and made me proud. I like to show clevage and my husband is very fond of my boobs (probably his favorite part of me) Has anyone found a clever way for insurance to cover any kind of altering of the chest? The size really is not of a concern to me but the word "sag" scares the hell out me. I would rather talk about dying under the knife then having sagging boobs. I know that sounds very weird but I guess we all have something we are "hung-up" on.    — Aimee P. (posted on October 4, 2001)


October 4, 2001
Unfortunately, us "D cup" gals do indeed sag after losing a lot of weight. I can live with mine...but, I understand your dilemna. Women in my support group have had breast surgery paid for by their insurers. You have show that the weight causes backaches or neckaches, that the skin is subject to boils or other skin irritations and infections, that there is functional impairment. One really small frame woman in my group lost over 200lbs. and braless her breasts actually hung to her thighs! When she appealled the denial, she sent pictures! She was approved within a week.
   — [Anonymous]

October 5, 2001
I was told by my doctor that when the time comes, apply for it as a "breast reduction"... though they will not be reducing the actual cup size, they will be reducing the hanging skin there. Also, if you have rashes or back ache, make sure you go to you PCP for it and get that documented. Most insurance companies would rather pay the money to get the job done once then have a patient in the doctor's office every week with more sores and back pain. If that doesn't work... hey, at least we'll be able to shop at Victoria's Secret for a wonder bra. LOL! Good luck!!
   — FireJewel

January 29, 2002
I am having a breast reduction and lift on Friday, Feb. 1st with a tummy tuck. The insurance company paid for the breast job but not the tummy tuck. I only had to pay partial of the tt. My boobs were a D cup full figure and now are a C cup or small regular D cup. They are saggy with lots of extra skin. I wasn't that concerned about my tummy but now I can get it greatly discounted and it will look strange with my new breasts.
   — Julie B.

July 8, 2005
Yes I had a breast reduction and lift done in March 2004 and insurance paid for it. You must have a medical or orthopedic reason for surgery to be paid for by insurance at the time of my surgery I has Horizon Blue Cross/Blue Shield of New Jersey and they paid once I showed them proof via letters from my orthopedic doctor stating that I was being treated for neck/upper back pain and from my personal care physician stating that I was being treated for recurrent skin rashes beneath my breast year round. If you are only wanting the surgery for the purpose of looks then I must admit that insurance will not cover the cost of the surgery. If I did not have the letters from my orthopedic and personal care physicians my surgery would have cost me an astounding $12,500.00. Good Luck
   — Mary R.




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