The Breast Reduction Center of NYC, located on the Upper East Side in Manhattan, New York offers free breast reduction plastic surgery insurance verification and breast reduction surgery consultations. Though the Breast Reduction Center of NYC accepts most medical insurance for breast reduction plastic surgery the insurance coverage and the amount of insurance coverage will depend on your specific medical insurance coverage. Breast reduction plastic surgery falls into the medical insurance category of “reconstructive plastic surgery” and may be covered by your medical health insurance.
Dr Blechman has surpassed every expectation that I had for a plastic surgeon and for my breast reduction surgery. He is extremely pleasant and caring and goes above and beyond to ensure his patients are taken care of. He is always available and no concern is to small to get his immediate attention. He is honest about results and expectation and does a great job at addressing all concerns and questions. If I could give him 10 stars I would but 5 stars will just have to do. I am extremely happy with my decision to choose him for my breast reduction surgery, my results are phenomenal and he will definitely be my choice for any other future surgery. ~ Google
If you are contacting your insurance company yourself to determine coverage the key terms include: “reduction mammoplasty” which is the medical term for a breast reduction operation and “macromastia” which is the medical term for abnormal enlargement of the breasts. Additionally, the “Schnur Scale” is frequently used and is a method for comparing body surface area and amount of breast tissue to be removed and is sometimes used by insurance companies in determining coverage.
The only way to know for certain if your breast reduction plastic surgery is covered by your insurance carrier is to contact your insurance company: if you would like the Breast Reduction Center of NYC to contact your insurance company for you to determine if your breast reduction surgery will be covered please fill out this secure eForm:
Schedule a Complimentary 15-minute Phone Consultation
During your complimentary 15-minute phone consultation with one of our Patient Care Coordinators you can ask questions about surgery, costs, financing, and health insurance coverage. You will then be able to schedule an appointment with one of our Plastic Surgeons.
We are in-network with many United Healthcare and Oxford plans and may accept The Empire Plan (NYSHIP), BlueCross BlueShield New York State Nurses Association (NYSNA), Cigna, and Aetna plans if you have out-of-network benefits.
Your California health insurance (should you be in-network or have out-of-network benefits) may be accepted at our New York City breast surgery practice.
Unfortunately, we are UNABLE to work with: BlueCross BlueShield, except for BCBS New York State Nurses Association (NYSNA), Medicare, Medicaid, and Straight Medi-Cal.
According to the American Society of Plastic Surgeons: “In the case of breast reduction for insurance purposes, breast reduction plastic surgery will typically be considered a cosmetic procedure until the patient can prove an adequate number of health issues and attempted remediations of those issues prior to undergoing corrective surgery. Once the threshold has been reached, the insurance company may then consider breast reduction a reconstructive procedure for that patient and cover it.”
Medical Reasons for a Breast Reduction Include:
- If your breasts are causing you neck, shoulder, or back pain, or maybe even bad posture or numbness.
- Chronic rash or skin irritation underneath the breasts.
- You experience breathing difficulty.
- You are struggling to find a comfortable position to sleep.
- You are experiencing nerve pain.
- You have significant asymmetry (one breast larger than the other).
- Your breasts are causing restricted physical activity.
Please note: If your insurance lists “reduction mammoplasty” as an exclusion, this means your insurance will not cover the procedure. Most insurance companies will NOT have this listed as an exclusion. However, our coordinators have a wealth of experience and success in helping patients communicate with their health plan administrators and insurance companies to dispute exclusions.
To learn more about a patient’s rights and responsibilities, please read the Standard Notice and Consent Documents Under the No Surprises Act.
The Breast Reduction Center of NYC specializes in taking exceptional care of each patient from the initial breast reduction consultation to the post-recovery period. The honor and privilege of caring for our patients come with the responsibility and dedication of the best in class board certified/board eligible plastic surgeons and our staff to adhere to the utmost standards of excellence in patient care and final surgical outcome. As best in class top rated breast reduction surgery specialists, we provide highly personalized and comprehensive care. If you have any questions or would like to schedule a breast reduction surgery consultation please feel free to contact us:
Breast Reduction Center of NYC
800A 5th Ave
Floor 3, Suite B
New York, NY 10065