Will Insurance Cover a Breast Reduction Surgery?

Will Insurance Cover My Breast Reduction Surgery?

Breast reduction surgery, medically known as reduction mammoplasty, is a surgical procedure aimed at reducing the size of large breasts by removing excess fat, glandular tissue, and skin. This procedure not only addresses physical discomforts such as neck pain, back pain, and shoulder grooving caused by the weight of heavy breasts but also enhances the overall aesthetic appearance of the breasts.

However, many individuals considering breast reduction surgery often wonder if their health insurance will cover the costs associated with the procedure. If you are one of these people, then keep reading to find out if breast reduction surgeries are covered by insurance providers or not.

What Is A Reduction Mammoplasty?

Breast reduction surgery is a highly personalized procedure tailored to meet the specific needs and goals of each patient. During the surgery, the surgeon makes carefully planned incisions to remove excess breast tissue, reshape the breasts, and reposition the nipple-areolar complex to achieve a more proportionate and aesthetically pleasing breast size and shape.

The procedure typically takes several hours to complete. Following surgery, patients may experience swelling, bruising, and discomfort, but these side effects are temporary and subside as the healing process progresses.

Who Is The Right Candidate For Breast Reduction?

Candidates for breast reduction surgery are typically individuals who experience physical discomfort or emotional distress due to excessively large breasts. Common reasons for seeking breast reduction surgery include:

  • Chronic neck pain
  • Shoulder ache
  • Back pain
  • Difficulty finding clothing that fits properly
  • Restricted physical activity
  • Self-consciousness about breast size

Ideal candidates for breast reduction surgery are in good overall health, have realistic expectations about the outcome of the procedure, and are committed to following their surgeon’s pre- and post-operative instructions.

The Cost Of Breast Reduction Surgery

The cost of breast reduction surgery in India can vary depending on several factors, making it crucial for patients to understand the various components that contribute to the overall expense. You should also know more about this cost before finding out if it is covered by your insurance provider or not.

One of the primary factors influencing the cost is the surgeon’s experience and expertise. Board-certified plastic surgeons with extensive training and a proven track record of successful breast reduction surgeries may charge higher fees for their services. Additionally, the geographical location of the surgical facility can impact the cost, with facilities located in metropolitan cities often charging higher fees compared to those in smaller towns or rural areas.

The complexity of the procedure and the extent of correction required also play significant roles in determining the cost of breast reduction surgery. Patients with larger breasts or those requiring more extensive tissue removal may incur higher expenses due to the increased surgical time and resources involved.

Additionally, the type of breast reduction technique used, such as the traditional anchor incision method or the newer vertical or lollipop technique, can influence the overall cost. In India, the average cost of breast reduction surgery typically ranges from INR 70,000 to INR 2,50,000.

However, it is essential to note that this estimate may not include additional expenses such as anesthesia fees, hospital fees, pre-operative tests, post-operative garments, and medication. Patients should consult with their surgeon to obtain a personalized cost estimate based on their specific needs and goals. It is also advisable to inquire about any financing options or payment plans offered by the surgical facility to help manage the cost of breast reduction surgery.

Is Breast Reduction Surgery Covered Under Insurance?

Breast reduction surgery can be a life-changing procedure for individuals experiencing physical discomfort and emotional distress due to excessively large breasts. In some cases, health insurance plans may cover the cost of breast reduction surgery if it is deemed medically necessary to alleviate symptoms associated with large breasts.

Insurance coverage for breast reduction surgery typically hinges on specific criteria established by the insurance provider. These criteria often include documentation of physical symptoms such as chronic neck, shoulder, and back pain, as well as evidence of failed conservative treatments such as physical therapy, chiropractic care, or pain medication.

Additionally, insurance companies may require verification of medical necessity by a qualified healthcare provider, such as a plastic surgeon or primary care physician. Patients interested in pursuing insurance coverage for breast reduction surgery should contact their insurance provider directly to determine their eligibility and understand the requirements for coverage.

Get Breast Reduction Surgery at Divine Cosmetic Surgery

At Divine Cosmetic Surgery, we understand the physical and emotional challenges faced by individuals with excessively large breasts, and we are committed to providing compassionate care to help our patients achieve their aesthetic goals.

Our board-certified plastic surgeons have extensive experience performing breast reduction surgery and utilize advanced techniques to deliver safe, natural-looking results. From the initial consultation to the final follow-up appointment, our team, under the supervision of Dr. Amit Gupta, is dedicated to ensuring each patient’s comfort, safety, and satisfaction throughout their surgical journey.

We prioritize open communication, personalized treatment plans, and attentive post-operative care to ensure optimal results and a positive patient experience.


Breast reduction surgery is a highly effective procedure for reducing the size of large breasts and improving both physical and emotional well-being. While the cost of breast reduction surgery in India can vary, some patients may be eligible for insurance coverage if the procedure is deemed medically necessary.

At Divine Cosmetic Surgery, we offer personalized treatment plans and care to help our patients achieve their desired breast size and shape safely and effectively. If you are considering breast reduction surgery, schedule your consultation today and learn about the various treatment plans that can help solve your problems.