Breast Reduction in Manhattan, Covered by Insurance

Frequently, yes. When large breasts cause documented physical symptoms — chronic neck, back, or shoulder pain, bra-strap grooving, or recurring rashes — most commercial insurance plans treat breast reduction as medically necessary rather than cosmetic. In fact, more than 95% of the breast reduction cases our office submits with appropriate medical documentation are approved by insurance, often within one to two weeks, or sometimes sooner. Coverage depends on your specific plan and documentation, and our office reviews your benefits and handles the paperwork for you.

Dr. Newman's Manhattan office is on Park Avenue on the Upper East Side. Consultations and all follow-up visits take place there. Surgery is performed at St. John's Riverside Hospital in southern Westchester — easily accessible from Manhattan — where Dr. Newman has served as Chief of Plastic Surgery since 2000. Every patient is operated on by Dr. Newman personally.

Manhattan's major employers — in finance, law, media, technology, and healthcare — typically offer commercial PPO plans with strong coverage for medically necessary procedures. Many of those plans include meaningful coverage for breast reduction when symptoms are properly documented. We work with Aetna, Cigna, United Healthcare, Oxford, Empire BlueCross BlueShield, GHI / Emblem Health, and Horizon. Call the Park Avenue office and we'll verify your benefits before your first visit.

You don't have to figure it out alone. Call our office and we'll verify your benefits, explain what your plan requires, and start the documentation. That's exactly the work we take off your plate.

Insurers look at how symptoms affect your daily life more than cup size alone. The most commonly documented symptoms are chronic neck and upper-back pain, shoulder pain and grooving from bra straps, rashes or skin irritation under the breasts, and difficulty exercising or staying active. We document these thoroughly to support your claim.

Many of our patients are surprised by how little they owe once their insurance benefits are applied. Your exact responsibility depends on your individual plan, and we'll go over it clearly with you before anything is scheduled — no surprises.

Dr. Scott Newman performs your surgery personally. You're not handed off to a rotating group. Dr. Newman has performed more than 7,000 breast procedures and has served as Chief of Plastic Surgery at St. John's Riverside Hospital since 2000.

Your procedure is performed at the Andrus or Dobbs Ferry Pavilion of St. John's Riverside Hospital — a hospital setting, not a back-office operating room — with pre- and post-operative visits available at whichever of our offices is most convenient for you.

Most patients return to work within a week or less and resume strenuous activity at around three weeks. Dr. Newman and his team guide you through every step of recovery.

Call 212-472-6100 to schedule your consultation. Our office handles your insurance verification and documentation from there. It helps if you send a copy of the front and back of your insurance card to the office so we can verify your benefits ahead of time. The sooner you start, the sooner you can find relief.