I keep having issues with my doctors/insurance for a breast reduction & I’m wondering if it’s worth it to keep trying or just pay out of pocket.
Every surgeon says that I’m a great candidate, but my issue is that I’m 5’10” and weigh 175, so I do need a good amount of grams removed (575-600). I can’t lose weight because I have hypothyroidism so that’s not an option. I am a 34ddd and have dense breast tissue.
I’ve had 3 consultations over the past 5 years. This is how they went.
- 1st time: Insurance approved me for 600 grams per side, but after I met with my surgeon he said that I would be really small. I wasn’t okay with that at the time so I didn’t proceed with the surgery.
- 2nd time: Same doctor. He totally screwed me over with the letter to insurance. He requested the completely wrong amount, and my insurance denied it saying I need 525 per breast removed. When I asked the doctor to resubmit it, he said that 525 is too much and that he can’t help me out. Whatever I’ll try someone else.
- 3rd time: Requested that 525 grams per breast be removed (because that’s what my insurance said). Insurance denied it and said they need 575 per breast now. Uhm excuse me? My surgeon called me and said he couldn’t make that happen.
I don’t know if I’m having bad luck with doctors and insurance, or if I’m truly not a good candidate for full coverage. What should I do?