Breast Reduction Insurance Coverage Requirements

If the patient wishes to attempt insurance coverage for a Breast Reduction procedure then they will require a referral from another physician who has documented their evaluation and recommendation for medically necessary breast reduction.

This is a requirement by all insurance for consideration of coverage, and any attempts for coverage without this documentation from another provider will be rejected or denied coverage. Specific indications for medically necessary breast reduction vary by insurance policy, and the patient will need to check with their individual policy for coverage criteria for this procedure.

​​​​​​​A referral from another treating provider is REQUIRED for breast reduction if they are attempting insurance coverage for the procedure.