Q.

Does breast reduction surgery covered by health insurance in India?

Asked by KAVITA MISHRA ·

Medically reviewed by SecondMedic medical review team

Doctor avatar

Answered by SecondMedic Expert

General Surgeon · Breast Surgery

Health insurance plans in India vary from company to company and it is important that you look into your specific plan before committing to a procedure. That said, many health insurance plans do cover some or all of the costs of a breast reduction surgery. In general, if your procedure is deemed to be medically necessary, there’s a good chance that the cost will be covered.

To determine whether your procedure will be covered, you need to contact your health insurance provider and find out what they specifically allow for coverage. It is also important to check with them as early in the planning process as possible so that any additional paperwork can be taken care of ahead of time if required.

It is worth noting that while breast reduction surgery may help improve symptoms related to certain conditions such as chronic back pain or skin irritation caused by large breasts, not all insurers consider this “medically necessary” and therefore refuse coverage for these types of procedures. You should also remember that even if your insurer does cover part or all of the costs associated with the operation, you still may have out-of-pocket expenses depending on your deductible amount or co-payment due at time of service.

Finally, bear in mind that some policies may limit how often surgeries can take place over a set period (e.g., one year). So it's also important to ask about any applicable limitations before scheduling an appointment with a plastic surgeon and/or getting started on paperwork for preauthorization from your insurer if they require one prior to treatment being rendered.

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