What insurance companies cover

Not all breast reductions are cosmetic. In some cases, insurance companies can be compelled to cover your breast reduction as a medical necessity. Each insurance company has a different set of criteria. Sample criteria include evidence of failed physical therapy or chiropractic interventions, or evidence that other conservative therapies have failed to treat your back, neck, or shoulder pain. We can help you determine your eligibility based on your age, medical history, and other supportive information.

Insurance companies evaluate eligible patients based on several scales that assess the relationship between a patient’s overall size and breast size. Our team has a very high success rate in getting breast reductions covered.

About the Schnur Sliding Scale

Insurance companies use a number of scales to determine the amount of tissue a patient needs to have removed from their breasts in order to merit coverage. The Schnur Sliding Scale, which uses a patient’s body surface area to scale the amount of tissue to be removed in the reduction, is one of the most common scales used by insurance.

Body Surface Area
Average grams of tissue per breast to be removed
1.35
199
1.40
218
1.45
238
1.50
260
1.55
284
1.60
310
1.65
338
1.70
370
1.75
404
1.80
441
1.85
482
1.90
527
1.95
575
2.00
628
2.05
687
2.10
750
2.15
819
2.20
895
2.25
978
2.30
1068
2.35
1167
2.40
1275