Insurance Companies Deny Medically Necessary Breast Reductions
Breast Reduction Surgery and Insurance
What if you couldn't perform daily activities, such as exercising or running with your children, because of overly large breasts that caused unending pain? Despite existing scientific studies that outline the medical necessity for breast reduction, many insurance companies are denying thousands of women the procedure each year because of rigid, unfounded conditions to secure coverage, according to a study presented today at the American Society of Plastic Surgeons (ASPS) Plastic Surgery 2006 conference in San Francisco.
"People often think breast reduction is an elective cosmetic procedure, but the majority of women seeking this surgery are legitimately debilitated by their breasts," said Michael Wheatley, MD, ASPS Member Surgeon and paper co-author. "The criteria most insurance companies use is not supported by medical literature and eliminates a large number of women from coverage, forcing them to fend for themselves."
Most insurance companies require patients to exhibit specific signs and symptoms prior to approving breast reduction as medically necessary. The amount of tissue removed to relieve symptoms associated with overly large breasts is the most controversial of all insurance criteria.
The authors reviewed the breast reduction policies of 87 health insurance companies. Despite contrary medical studies, 85 companies require a minimum amount of tissue to be removed to cover the procedure