I Just Found out That Breast Reductions Are Excluded from my Health Insurance Policy?
Q: Is there any way around that through the appeal process? Or anything else that I can do?
A: I am finding more and more instances of breast reduction surgery being excluded from coverage by health insurance plans. Unfortunately, it is unlikely that your appeal will be successful. You could consider exploring a different insurance carrier, but even when covered, there are generally very strict criteria. You may wish to consider saving for the procedure and paying out of pocket. This allows you to pick your plastic surgeon without being limited to a list of doctors proscribed by your insurance plan. It also provides you the freedom to determine whether or not the surgery would benefit you without having to go through the hoops (like courses of physical therapy, anti-inflammatory medication and repeated visits to your general practitioner) required by many insurance plans.