Breast reduction insuance question
- Posted on: Oct 19 2009
I am xx years old and in pretty good health: exercise regularly, etc. I am 5’8? tall and weight 162 pounds. I have lived my whole life with too-large breasts and I am tired of the neck and shoulder and back pain and the headaches. I have researched a good deal and you have an excellent reputation. I am in Grand Junction, CO, so would need to drive either to Denver or Salt Lake City to see a surgeon that regularly does reduction mammoplasty. I wear a 36DDD and think a 36C would be about right. My questions are: – Can you arrange to do surgery without an advance visit, or is one necessary? – My insurance requires about 500 grams to be removed. Does it seem likely that I would have this much? (It isn’t clear to me from reviewing before and after photos) – given this information, how long would you estimate II need to be in SLC? – What days do you do surgery? Thank you in advance for whatever information you can provide. Also thank you for what seems to me to be an honest and forthright approach on your website.
Dr. Yates reply
It would not be possible to get an insurance authorization without a consultation. There are a few criteria that must be met for an authorization for breast reduction. You may have already reviewed these on my website.
One of the most critical components of this is the volume of breast tissue estimated to be removed. The cup size alone is not enough for me to accurately estimate — this would require a consultation. I would guess that your starting cup size of DDD would be large enough at your weight. We would also need to make sure that I am contracted with your insurance. Give my office a call next week so that they can look at the insurance information with you to help plan your next step.
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