Reduction mammoplasty for asymptomatic members is considered cosmetic. Aetna considers breast reduction surgery medically necessary for non-cosmetic indications for women aged 18 or older or for whom growth is complete i. Note : Breast reduction surgery will be considered medically necessary for women meeting the symptomatic criteria specified above, regardless of BSA, with more than 1 kg of breast tissue to be removed per breast.
From chronic aches and pains to just plain old discomfort, there are a variety of reasons why someone may decide to get a breast reduction. But there's a lot of misinformation out there about the surgery itself, and because of that, it can be difficult to recognize the physical signs and symptoms that can help you tell if a breast reduction is right for you. Luckily, doctors and other health professionals are there to help.
Some women experience neck strain, headaches, aching shoulders, low back pain, chronic infections under the breast fold, and other problems associated with large breasts. Whether you wish to alleviate those symptoms or reshape your breasts to make them more pleasing to you, breast reduction, also called reduction mammaplasty, can help. In fact, breast reduction surgery has one of the highest rates of satisfaction of all cosmetic surgery procedures.
Please be aware that this site has not been optimised for iOS 6, and therefore you may encounter minor functionality issues. Please update your software to the most recent version in order to get the best experience. Close message. Ensure your consultation is with an accredited plastic surgeon who is on the GMC specialist register for plastic surgery, or a breast surgeon who has been certified in breast reduction surgery by the Royal College of Surgeons of England in its certification scheme due to be introduced in
These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.
TRICARE covers reduction mammoplasty breast reduction when documentation supports the presence of medical symptoms such as:. TRICARE covers services that are medically necessary Click to close To be medically necessary means it is appropriate, reasonable, and adequate for your condition. Health Plans.
Many insurance carriers continue to deny coverage for reduction mammaplasty unless a minimum amount of resected breast tissue per breast is achieved during surgery. A retrospective review was performed on patients with bilateral symptomatic macromastia who sought consultation for breast reduction surgery from to Relevant demographic information, mean predicted resection weight, and the mean actual resection weight were collected for analysis.
I recently saw a female college student as a new patient consultation in my office concerning possible breast reduction surgery. This procedure, also known as reduction mammaplasty, is indicated for the treatment of symptomatic macromastia large breasts. The commonly reported symptoms related to macromastia are neck, shoulder and back pain caused by the weight of overly large breasts upon the musculoskeletal system.
Back to Health A to Z. Breast reduction surgery can help women who are unhappy with the shape, weight or droop of their breasts by making them smaller and more lifted. Some CCGs do not fund breast reduction surgery at all, and others fund it selectively if you fulfil certain criteria.