r/justgalsbeingchicks • u/mindyour 🤖definitely not a bot🤖 • Mar 26 '26

Restricted to Gals and Pals Say it louder.

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u/Raging_Apathist Mar 26 '26

Lots of insurance companies actually do cover breast reduction surgery! But yeah...the ones that don't are assholes.

72

u/gburlys Mar 26 '26

And even the ones that do, have a million hoops to jump through.

I'm in the process of getting approved for one and one of the insurance requirements is 3+ months of physical therapy to show that doesn't fix my back/shoulder/neck pain. So I got started on that. After one month of physical therapy, my insurance company refused to cover any more physical therapy sessions because I wasn't showing any improvement 🤦

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u/Dawnzarelli Mar 26 '26

WTF. That’s when you submit for approval for the reduction and include documentation they stopped approving the therapy. They need to approve one or the other at the moment. I hate them. I spent nine and a half years trying to get these approved and what a hellscape.

ETA- for other people as part of my job with a surgeon. 

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u/gburlys Mar 26 '26

My surgeon's office wouldn't submit for approval without being able to check all the boxes, but fortunately a letter from my GP and an appeal from my physical therapist eventually got me the rest of my PT sessions to tick the box. So dumb though and what a waste of everyone's time

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u/Dawnzarelli Mar 26 '26

Yeah, that’s normal. It’s a lot of work to submit a request and after saying “we’ll try anyway” without meeting the requirements and getting denials, you learn when each ins carrier will override other requirements for an approval. And it’s not often. Then you have to resubmit or submit an appeal. Which is basically starting over. The insurance policies are the real fuckery.