Question 1

Does insurance cover breast reduction surgery?

Accepted Answer

Frequently, yes. When large breasts cause documented physical symptoms such as 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. Over 95% of breast reduction cases the 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 Dr. Newman's office reviews your benefits and handles the paperwork for you.

Question 2

Where is the Westchester office, and where is surgery performed?

Accepted Answer

Dr. Newman sees Westchester patients in southern Westchester, adjacent to St. John's Riverside Hospital, where he is Chief of Plastic Surgery. Consultations and follow-up visits happen at the office; the surgery itself is performed at the Andrus or Dobbs Ferry Pavilion of St. John's Riverside Hospital. Patients travel from Scarsdale, White Plains, Bronxville, Dobbs Ferry, and Rye, as well as Greenwich, CT and Riverdale.

Question 3

Do you work with the NYSHIP Empire Plan?

Accepted Answer

Yes. The NYSHIP Empire Plan is one of the most common plans seen from Westchester patients, including teachers, police officers, firefighters, and county and state employees, and it frequently covers medically necessary breast reduction. The office also works with Aetna, Cigna, United Healthcare, Oxford, Empire BlueCross BlueShield, GHI / Emblem Health, and Horizon.

Question 4

How do I find out if my plan covers breast reduction?

Accepted Answer

Call the office and the team will verify your benefits, explain what your plan requires, and start the documentation for you.

Question 5

What symptoms help qualify me for breast reduction insurance coverage?

Accepted Answer

Insurers look at how symptoms affect your daily life more than cup size alone. Commonly documented symptoms include 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.

Question 6

Will I have to pay anything out of pocket for breast reduction?

Accepted Answer

Many patients are surprised by how little they owe once insurance benefits are applied. Exact responsibility depends on your individual plan, which the office reviews with you before anything is scheduled.

Question 7

Who performs the breast reduction surgery?

Accepted Answer

Dr. Scott Newman performs your surgery personally. He has performed more than 7,000 breast procedures and has served as Chief of Plastic Surgery at St. John's Riverside Hospital since 2000.

Question 8

Where is the surgery performed?

Accepted Answer

The procedure is performed at the Andrus or Dobbs Ferry Pavilion of St. John's Riverside Hospital, with pre- and post-operative visits available at any of the office locations.

Question 9

How long is breast reduction recovery?

Accepted Answer

Most patients return to work within a week or less and resume strenuous activity at around three weeks.

Question 10

How do I get started with breast reduction?

Accepted Answer

Call 914-423-9000 to schedule a consultation. The office handles insurance verification and documentation from there. Sending a copy of the front and back of your insurance card to the office helps verify your benefits ahead of time.

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