Does Health Insurance Cover Breast Reduction Surgery in Taiwan? - Plastic Surgery

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In Taiwan, breast reduction surgery, also known as reduction mammoplasty, is generally not covered by health insurance unless specific medical criteria are met. The criteria for insurance coverage typically include significant physical discomfort or health issues directly related to the size of the breasts. These issues may include chronic neck, shoulder, or back pain, skin irritation, or other complications that can be medically documented.

From the information provided, it seems that you are experiencing discomfort related to your breast size, such as shoulder and neck pain, which could potentially qualify you for insurance coverage if you can demonstrate that these issues are directly linked to your breast size. However, the determination of whether your case qualifies for insurance coverage is ultimately made by the healthcare provider and the insurance company based on established guidelines.

In Taiwan, the health insurance system has specific standards for what constitutes a medically necessary breast reduction. Generally, the size of the breasts must be significantly larger than average, and the patient must have documented evidence of physical symptoms that affect their quality of life. The assessment usually involves a thorough evaluation by a qualified medical professional, who may refer you to a specialist such as a plastic surgeon or a breast surgeon.

If you are considering breast reduction surgery, it is advisable to consult with a healthcare provider who specializes in this area. They can conduct a comprehensive evaluation of your symptoms and medical history, and if deemed appropriate, they can provide documentation that may support your claim for insurance coverage. This documentation may include medical records, imaging studies, and a detailed account of how your breast size has impacted your daily life.

Additionally, you mentioned your height (158 cm), weight (55 kg), and breast size (34E). While these measurements can provide some context, the decision for surgery and insurance coverage will depend more on the physical symptoms you are experiencing rather than just the size of your breasts. It is also important to note that each case is unique, and the criteria for coverage can vary between different insurance providers.

In summary, while breast reduction surgery is not routinely covered by health insurance in Taiwan, there are circumstances under which it may be eligible for coverage. If you are experiencing significant discomfort and believe that your breast size is contributing to your symptoms, it is essential to seek a professional evaluation. A healthcare provider can guide you through the process, help you understand your options, and assist you in obtaining the necessary documentation for insurance purposes.