Steps to Obtain Insurance Approval
The process of securing insurance approval for breast reduction in NYC is multi-step and requires close collaboration between you, your surgeon, and your insurance company.
Step 1: Consultation
Schedule a consultation with a
plastic surgeon who is familiar with the insurance approval process for breast reduction.
Step 2: Documentation Collection
Gather all necessary records, including:
- Documentation of symptoms (pain, rashes, posture issues)
- Records of attempted non-surgical management (physical therapy, pain medication, supportive garments)
- Letters of medical necessity from your primary care provider or specialists
Step 3: Pre-Authorization Submission
Your surgeon’s office will submit a comprehensive pre-authorization package to your insurance provider on your behalf.
You are likely ready for submission if you have medical records clearly stating chronic symptoms and failed conservative treatments, letters of medical necessity from healthcare professionals, photographs (if required by your insurer), and a detailed surgical plan from your surgeon.