United PPO Breast Reduction Insurance Coverage
A few United PPO plans may cover breast reductions, for the plans that do, United PPO considers a breast reduction to be a “functional operation,” meaning that the purpose of a breast reduction is to improve the symptoms caused by large breasts such as rashes, shoulder pain, and neck pain. Breast reductions can also treat breast cancer or be used during gender confirming surgery, but these are undergo a different authorization than other breast reduction procedures and in fact these are usually covered by United PPO plans.
Board Certified Los Angeles plastic surgeon Dr. Elliot Hirsch performs breast reductions of all types, including functional and cosmetic reductions.
To schedule a consult with Dr. Hirsch, please call the office at 818-825-8131 or fill out our contact form.
Frequently Asked Questions
United Healthcare Breast Reduction Insurance Coverage
How can I find out if my United PPO plan covers breast reduction surgery?
The best way to find out if your United PPO plan covers breast reduction surgery is to call the number on the back of your insurance card and ask if breast reduction surgery is a covered benefit. If it is a covered benefit, then the authorization process is the same as every other surgical procedure.
What do I do if my United PPO plan does not cover breast reduction surgery?
If your United PPO plan does not include breast reduction surgery as a covered benefit, you can consider paying out of pocket for the procedure or even changing insurance plans. Dr. Hirsch and his team will discuss options with you at your consultation.
To schedule a consult with Dr. Hirsch, please call the office at 818-825-8131 or fill out our contact form.
How much does a breast reduction cost if it is covered by insurance?
If Blue Shield covers your breast reduction, you are typically responsible for your in-network deductible and your in-network co-payment. Depending on the facility that is used for your surgery, Dr. Hirsch may be able to accept your insurance.
What is the difference between a breast lift and a breast reduction?
A breast reduction reduces the size of the breast and lifts/reshapes the breasts. A breast lift does not usually make a significant difference in size and only lifts/reshapes the breasts. A breast reduction can be covered by your Blue Shield PPO insurance, while a breast lift is not usually covered by insurance.
- For an overview of how different PPO plans handle this surgery, see our Breast Reduction Insurance Coverage Guide.
- If you’d like to learn more about the procedure itself, visit our main Breast Reduction procedure page.
Call for a consultation
Schedule online today »