How do you get blue cross blue shield to pay for a breast reduction?

If breast reduction is a specific exclusion on your particular plan you probably cannot get them to pay for it. If it is not a specific exclusion on your plan you will need a physician to write a letter to BCBS and get an authorization to have the procedure. If your need for the reduction is not medical it will not be covered. You must contact BCBS and ask if your plan pays for breast reduction for specific medical reasons.