Question
Hi! I was wondering why Medicare/Medicaid denied my request for breast reduction. I have severe back and neck pain, marks on my shoulders from the bra strap, and rash in between and under my breasts. Please help me out with this!!
Thanks
Answer
I have no idea. There is no authorization needed for this unless you are in a Medicare Advantage Program. It really has to do with how the physician presents it, If you are not in an HMO, Medicare does not require an authorization and will pay if it is medically necessary.
