 [ Symptoms ] how hard is it to get my insurance provider to cover a breast reduction  i am 22 years old about 59 and 180lbs with a 38g cup size i am in horrible pain and do not know how to go about getting one or how to get my insurance to approve it [ Disease ] the bottom line when it comes to having insurance pay for any procedure is whether it is considered medically necessary in the case of a reconstructive procedure like the one you are asking about that generally means it is needed to repair or preserve the healthy functioning of the body it sounds like for you breast reduction surgery may be medically needed whereas for another woman it could be considered a cosmetic procedure circumstances matter i would start the process by getting in touch with your insurer to find out what is needed to get the surgery covered you are likely to need your plan is pre authorization that will also mean getting your doctor to submit specific information about your circumstance and why heshe believes the surgery is medically needed insurers often have very specific requirements in order to approve such a surgery so it will be important for both you and your doctor to learn what they are and then to follow your plan is rules to submit the necessary paper work and justification for the procedure if you are initially denied be aware that you do have the right to appeal your insurer is decision and you should do not take no for an answer without fighting for the care you need appeals do often turn in favor of the patient best of luck