Is Breast Reduction Covered by Insurance in India? What Delhi Patients Need to Know

How would you feel if you were finally able to get rid of chronic back pain and daily discomfort caused by large breasts? Breast reduction surgery can help you with all of that. 

Breast reduction surgery in India can be a life-changing cosmetic surgery, and it may not be covered by many insurance providers. Is there anything you can do to get it covered by insurance? 

Let us answer your questions in this blog. 

What is breast reduction surgery? 

Breast reduction surgery in Delhi is also known as reduction mammoplasty, in which excess breast tissue and fat are removed to achieve a breast size that is in proportion with your body. The procedure can improve your quality of life and relieve your physical discomfort. 

How does insurance coverage work? 

Usually, cosmetic surgeries are not covered by insurance, as they are for beautification purposes. Insurance companies can cover a breast reduction in Delhi if it is deemed necessary. If your overly large breasts are causing you: 

  • Chronic back pain and neck pain
  • Skin irritation
  • Nerve pain
  • Restricted physical activity 

In such circumstances, insurance companies can cover your breast reduction surgery under the category of functional surgery. 

In such scenarios, Dr Hiranmayi Jha, top breast reduction surgeon in Delhi,  at Eva Clinic, prepares detailed medical reports, including:

  • Clinical photographs (if required)
  • Pain history and medication records
  • Diagnostic prescriptions for physiotherapy or orthopedic consultations

These documents strengthen your insurance claim and help prove that the surgery is not for beauty but for medical relief

Which Insurance Policies Cover It?

Most cashless mediclaim policies or reimbursement-based plans (from companies like Star Health, Niva Bupa, HDFC Ergo, Aditya Birla, etc.) may cover breast reduction—but only if your doctor certifies it as medically necessary.

Eva Clinic assists you in:

  • Preparing medical justification letters
  • Submitting reports as per insurance guidelines
  • Coordinating with TPA for pre-approval

How much does the insurance cover? 

The average cost of breast reduction surgery in India is around 2.5 lakhs.

  • If approved under insurance, 80% of expenses can be covered. 
  • Lab tests and compression garments are not covered. 

Can young women also get insurance coverage? 

Yes, even teenagers and young adults can apply for insurance support. 

  •  Parent and guardian's consent is required
  • Additional reports from orthopedics are also needed. 

Final Word: Relief is Possible—And Affordable

Many women continue to suffer silently because they assume breast reduction in Delhi is a “luxury cosmetic surgery.” But as Dr. Hirnamayi Jha rightly says:

If your breasts are causing pain, discomfort, or health issues—it is not cosmetic; it is medical. You deserve treatment, and insurance should support it.

Thinking About Breast Reduction? Let Eva Clinic Handle Your Insurance Hassle.

Whether you’re still confused about eligibility or ready to proceed, let the experts guide you.

Contact Eva Clinic today for an insurance eligibility check with Dr Hiranmayi Jha.
Just share your symptoms—and the clinic will help you understand if you qualify for coverage.

FAQ 

Can cashless treatment be done for breast reduction? 

Yes, many insurance companies do offer cashless hospitalization, but pre-authorisation should be obtained before admission. 

Who is the best doctor in Delhi for insurance support regarding breast reduction? 

Dr Hiranmayi Jha at EVA Clinic Delhi will help you with both surgery and insurance assistance. Contact her now. 

author

Dr. Hiranmayi Jha

MBBS, MS Surgery
MCH - Plastic Surgery
AIIMS Alumni
Ex-Associate Consultant in Max Saket
Have questions or want to get started? We are ready to help you with a smile!
author

Dr. Hiranmayi Jha

MBBS, MS Surgery
MCH - Plastic Surgery
AIIMS Alumni
Ex-Associate Consultant in Max Saket

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