Anonymous wrote:Anyone saying overly large breasts are not a medical condition, does not have overly large breasts.

I (finally) had a breast reduction at 48 and it's the single best thing I've ever done for myself. Better posture, no more daily back pain, no groove marks in my shoulders, and yes, clothing fits and looks better, and I can buy bras in a regular store, that are actually cute!

My insurance covered it, and I will fully support my DD if she want to pursue the same path when she turns 18.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had my reduction done by Stephen Baker at Medstar Georgetown in 2019. I also have BCBS Federal, and it was fully covered. Dr. Baker was wonderful and was able to get everything approved through insurance. I only paid the surgery co-pay.

https://www.stephenbakermd.com/

Your age?

I was 36 at the time of consult and 37 when I had the surgery

Completely different scenario than OPs daughter.

They are going to advise that she wait until she stops growing. And insurance is going to want a documented history of back issues that would justify a reduction.

Insurance companies decisions are still heavily weighted toward dealing with an problem after it is a problem instead of taking a preventive route.

Anonymous wrote:

Anonymous wrote:Can’t speak specifically to reduction surgery.

But our daughter required a different surgical procedure, and we found the surgeons at Children’s Hospital in DC to be the best.

HOWEVER: the rest of that hospital is severely lacking. The nursing staff repeatedly made mistakes in pre care, after-care, bill coding, etc. The hospital strives to hire from the local community to provide opportunities.

The hospital provides care to any and all regardless of insurance/ ability to pay, and the waiting rooms are constantly swamped. Stress level there is very high. Parking is a nightmare.

We are considering Childrens for plastic surgery. How did these issues play out on the day of surgery? Did the surgery start on time? What procedure did you have done?

Anonymous wrote:Op here; leave it to DCUM! I was excited to see the number of responses thinking I was getting recommendations. We have talked to several doctors over the last two years, as well as our insurance company and her pediatrician. Believe me, it’s medically necessary and will be covered. I wasn’t trying to get into that here. Thank you for those who provided recommendations. We actually went to children’s and liked the doctor - but experienced exactly what PP described. Billing department gave me nonsense estimates, couldn’t coordinate with insurance competently, and repeatedly did not call me back. This will be DD’s first hospital experience ever and I didn’t want to deal with logistical issues, it made me lose faith in the medical care.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had my reduction done by Stephen Baker at Medstar Georgetown in 2019. I also have BCBS Federal, and it was fully covered. Dr. Baker was wonderful and was able to get everything approved through insurance. I only paid the surgery co-pay.

https://www.stephenbakermd.com/

Your age?

I was 36 at the time of consult and 37 when I had the surgery

Anonymous wrote:

Anonymous wrote:I had my reduction done by Stephen Baker at Medstar Georgetown in 2019. I also have BCBS Federal, and it was fully covered. Dr. Baker was wonderful and was able to get everything approved through insurance. I only paid the surgery co-pay.

https://www.stephenbakermd.com/

Your age?

Anonymous wrote:I had my reduction done by Stephen Baker at Medstar Georgetown in 2019. I also have BCBS Federal, and it was fully covered. Dr. Baker was wonderful and was able to get everything approved through insurance. I only paid the surgery co-pay.

https://www.stephenbakermd.com/

Anonymous wrote:Can’t speak specifically to reduction surgery.

But our daughter required a different surgical procedure, and we found the surgeons at Children’s Hospital in DC to be the best.

HOWEVER: the rest of that hospital is severely lacking. The nursing staff repeatedly made mistakes in pre care, after-care, bill coding, etc. The hospital strives to hire from the local community to provide opportunities.

The hospital provides care to any and all regardless of insurance/ ability to pay, and the waiting rooms are constantly swamped. Stress level there is very high. Parking is a nightmare.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My teenage girl really wants/needs breast reduction surgery. She is a 32G and it interferes with sports, makes it very hard to find clothes, and results in bathing suits looking too revealing no matter how hard we try to find one that fits correctly.

We found a surgeon we liked but they just notified us they no longer take our insurance - BCBS federal. I have researched the requirements for coverage and it would be covered under their policy under the circumstances.

Does anyone have a surgeon they recommend?

Thank you!

That is not medically required surgery. No health insurance will cover that. It's a cosmatic surgury.

That's not necessarily true.

We went to Dr Friedman’s office and very much liked one of the surgeons there, but they no longer take our insurance.

It's not cosmetic if its causing pain/back issues/etc. OP said she did the research- so no reason not to believe her.

No, but a word of caution -- "doing the research" isn't the same thing as "pre-authorization." So she probably wants to confirm it will be covered rather than just "doing the research" by reading the policy.

OP, you want to go to Dr. Roger Freidman in Rockville. Best plastic surgeon in the DC area.