Does Insurance Cover Breast Reduction for Back Pain [Explained]

Dr.Edna Skopljak

Dr.Edna Skopljak

Edna Skopljak is a Doctor of Medicine. She has over 10 years of experience in the medical field. She is also a volunteer at several organizations, and is always looking for ways to improve the health of her community.

Breast reduction surgery is a standard procedure for women seeking relief from discomfort caused by large and heavy breasts. However, not all women have the financial means to pay for the procedure out of pocket, leading them to ask the question, “Does insurance cover breast reduction for back pain?”

Does Insurance Cover Breast Reduction for Back Pain

Yes, some insurance companies and plans cover breast reduction when it is shown that it is a medical necessity.
Although breast reduction is considered cosmetic surgery, many companies will also consider breast reduction procedures a medical necessity – if it is required to alleviate pain, physical discomfort, or other health issues caused by having large breasts.

Since different insurers have different criteria for deciding if the surgery is medically necessary, you should review your plan or contact your insurance agent to see if breast reduction surgery is covered. You may have to have a case documenting how your large breasts are negatively impacting your health and causing chronic health issues and that surgery is required to alleviate these issues.

The relationship between back pain and large breasts.

Having large breasts can cause chronic back, neck, or shoulder pain in women. This occurs because of changes in the body alignment caused by heavy breasts pulling the upper body forward. If the surrounding chest and back muscles are not strong enough to support the excess weight on the chest, it makes it challenging to maintain good posture and creates an unnatural curvature of the spine. The issues caused by large breasts can worsen over time if left untreated.

Dr. Bethanne Snodgrass states on the American Society of Plastic Surgeons website that breast reduction surgery has one of the highest patient satisfaction rates.

Many patients experience immediate and significant relief from their issues. The removal of excess breast tissue reduces the weight on the back, and the spine returns to a more natural position. Overall it creates a more balanced center of gravity in the body and reduces unnecessary stress on the spine.

How to get insurance to cover female breast reduction?

If your insurance policy is one that covers breast reduction, you will have to show proof that your breasts have caused health issues over time before you can proceed. Having conversations with your doctor or chiropractor about the pain and discomfort you are experiencing will help you to build a case.

They will note these on file, and your insurance company will see that your breast size has been causing ongoing issues.

You can also keep records of other non-surgical treatments you have had to help with health issues caused by your large breasts. This will indicate that you have tried other methods in the past.


Health issues from having large breasts can really take their toll on a woman, emotionally and physically. However, the cost of surgery can be a barrier for some, leading them to wonder “Does insurance cover breast reduction for back pain?”. If you are not experiencing a pain-free life, reach out to your insurance representative to discuss your policy with them to see if you qualify for breast reduction surgery coverage.