A Nebraskan woman has been repeatedly denied coverage for a breast reduction procedure, despite her doctor’s plea that it is a medical necessity for his patient.  Glenda Ellison has commented that while accommodating a wardrobe for 54DDD size chest is difficult, her real concern is regarding the severe back and neck pain she experiences on a regular basis. 

Nonetheless, Ellison’s private insurance company is adamantly refusing coverage and has informed her that the only exceptions for breast reductions are made in life threatening situations.  Her insurance provider has suggested that if she acquires a job with a large company, her company-based insurance may consider the procedure. 

In addition to years of teasing and embarrassment, the self-employed woman claims that the physical pain she endures is so debilitating, she regularly has to take muscle relaxers.  Ellison’s doctor, Ziad Zawaideh, who recommended the surgery, has commented, “I’m faced with one insurance company, I don’t want to mention the name of the company, but I send letter after letter, and they still denied the coverage.” 

The doctor adds that he is surprised that Medicaid will cover “medically necessary” reductions and private insurance companies will not. 

Ellison has commented on the prospect of breast reduction surgery, “Ah, life would be grand.  Life would be grand.” In the event that they are unable to reverse the decision of her insurance provider, the patient is considering funding her own breast reduction surgery. 

Breast reduction surgery typically ranges in cost between $8,000 and $15,000 and would be a substantial financial burden for the patient.