The Breast Reduction Center of NYC (located on the Upper East Side in Manhattan, New York) accepts most commercial insurance for breast reduction plastic surgery. The Breast Reduction Center of NYC offers breast reduction surgery for women who have developed physical symptoms such as back or neck pain related to the size and/or weight of their breasts. Our world-leading plastic and reconstructive surgeon will tailor each breast reduction surgery to your unique needs, ensuring the procedure is performed to the highest standard. Breast reduction surgery removes approximately 50% of the breast volume in addition to excessive skin make them smaller, lighter, and more lifted.
I am currently two month post-opt and I feel great. I had a breast reduction and haven’t had any back pain since. Initial I was very nervous, but after meeting the plastic surgeon, I felt a calm come over me. He is very knowledgeable, and just made me feel human. He didn’t make our meeting feel so scripted. He was down to earth and trustworthy. I am so glad that I went through with the surgery. I would highly recommend him. My results are aaaaamzaing! ~ RealSelf
Will Insurance Cover My Breast Reduction Plastic Surgery?
Generally, many insurances will cover your breast reduction surgery if it’s for a medical necessity. However, medical insurance coverage is determined on a case to cases basis. 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 are unsure how to do this the Breast Reduction Center of NYC will happily contact your insurance company for you. Or please fill out the information on the Breast Reduction Center of NYC Insurance Verification page and we will contact you directly to let you know if your particular insurance covers the surgery.
Please Note: Any patients seeking insurance coverage for their breast reduction will have all visits, including their consultation, billed to their insurance carrier. This shows your insurance company a continuum of care with our office, allowing us to proceed with submitting your request for prior authorization.
If your medical insurance policy does cover breast reduction surgery, there may be criteria that they will consider. The most common criteria that you can get insurance coverage for a breast reduction involves the following:
- There is a physiological functional impairment due to the excessive size and/or weight of the breasts, such as back, neck, or shoulder pain, shoulder grooving from bra straps, headaches, or rashes.
- Removal of a certain minimum amount of breast tissue based on your height and weight – we will discuss this with you during your consultation at our NYC breast reduction center. In general, this requirement is satisfied by removing approximately 50% of the breast volume.
- The board certified NYC plastic surgeon must provide an accurate diagnosis that you suffer from disabling or debilitating symptoms attributed directly to overly large breasts.
- You have tried conservative, non-surgical methods, such as physical therapy or over-the-counter pain medications for over three months to resolve your condition personally without success.
- Your plastic surgeon can and will provide photos that document your need for breast reduction surgery.
Another factor that you need to consider prior to understanding if you have insurance coverage for breast reduction plastic surgery is to determine if the Breast Reduction Center of NYC is in-network or out-of-network with your insurance policy. The BRC participates in-network with United Healthcare (commercial plans) and Oxford (Freedom & liberty networks) plans. We also have a great deal of experience and success in working with commercial out-of-network plans for either full or partial coverage, depending on your plan. Some insurance policies will only cover the breast reduction surgery (full or partial), but not the professional fee of the plastic surgery surgeon, which could affect the surgery cost. We are more than happy to check this information for you with your insurance carrier. It is ultimately each patient’s responsibility to understand and verify benefit coverage with their carrier. Our coordinators provide comprehensive insurance and financial consulting before and after your appointment to ensure each patient has their questions answered and feels confident in their decision to move forward.
The success of your breast reduction surgery depends on the quality of your participation during the initial consultation at the Breast Reduction Center of NYC located on the Upper East Side in Manhattan, NY. You will need to be prepared to discuss why you want breast reduction plastic surgery, your personal medical history, drug allergies, use of medications, vitamins, herbal supplements, alcohol, tobacco, and drugs, and any family history of diseases.
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 plastic surgeon 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 pertaining to your insurance 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
(212) 203-4514
