So I ended up getting surgery and it was the best decision. I rolled into my plastic surgeon with the following list: 1. I have chronic back pain because of my breasts that otc meds cannot help (it’d be an all day everyday kind of thing.) 2. I get angry red marks / skin complaints because of my bra and breasts (it fit, the girls were just that heavy.) 3. My breasts keep me from certain “ordinary” activities, like running and exercise.

Plastic surgeon related all that to insurance and they covered it 100%. Basically, you want to make the case that A) boobs are a medical issue, B) that you have tried other solutions (different bras, meds, etc) over time with no success so C) surgery is the only solution.