r/Reduction • u/akellerh14 • 59m ago
Surgery Date Surgery scheduled- Process thus far NSFW
For reference, I’m located in the United States.
Sometime between November and December 2025, I called to schedule my consult. I also called my insurance to see what the requirements were for a breast reduction to be covered.
Throughout the year I visited my primary doctor, the dermatologist, and a PT, having them document issues from my large breasts.
I had my consult on September 10. The office didn’t think they’d need documentation from my other visits to get approval due to pictures and meeting the minimum gram removal requirement (my insurance uses the Schnur Scale).
Prior authorization paperwork was submitted to my insurance on October 7. There was actually a mix up at an earlier date where the office called my insurance and the rep they talked to said a pre-authorization wasn’t required. Luckily I knew this to be incorrect since I had called last year and asked about requirements.
My prior authorizations were approved on October 20 for both the breast reduction and side lipo.
My surgery is scheduled for December 7! I’ve been wearing a 38DDD, but I think it may be the wrong size. I’m hoping for a 36C, as they anticipate my band size to decrease with the lipo. I’m so excited for smaller boobs!