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Breast reduction insurance coverage questionnaire

 

If you’re considering breast reduction surgery, coverage depends on medical necessity. Take our quiz to find out if your breast reduction surgery may be covered by insurance, based on general guidelines used by many insurers and outlined by the American Society of Plastic Surgeons.

Final coverage approval depends on your insurance company, plan, and specific policy terms. Some plans may require additional criteria or documentation, so patients are encouraged to confirm coverage directly with their insurer, ideally with the guidance of a board certified plastic surgeon, such as Dr. Vitali Azouz.

You will be able to discuss your results during a personalized consultation with Dr Azouz and get answers to your questions.

Do you experience chronic back, neck, or shoulder pain that has lasted more than 6 months?
Has your breast size caused skin irritation, rashes, or infections underneath your breasts?
Do your bra straps leave deep grooves or marks on your shoulders?
Have you tried and documented non-surgical treatments for breast-related symptoms? (e.g., physical therapy, chiropractic care, pain medications)
What is your cup size? (Choose your typical size)
Have your symptoms interfered with your ability to perform daily activities? (work, exercise, sleep, etc.)
Do you have documentation from a primary care provider or specialist confirming symptoms related to breast hypertrophy? (e.g., pain, rashes, reduced mobility)
What is your height and weight? (Used to calculate BMI and estimated tissue removal requirement)
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