Insurance Coverage for Lift and Implants for Deformed Breasts?
- Asked by itsme79 in united states
- 4 years ago
After having 3 children and losing the weight before even leaving the hospital, my breasts are very deformed and I am unable to find a bra or bathing suit to even fit properly. I weighed about 160 pounds per child then returning to 100-110 pounds. There is just no way to keep them in a bra. Is it possible to get breast implants and breast lift through insurance coverage for this?
Breast lift and implants ande insurance
Sorry, but what you want is considered a cosmetic surgical procedure that is not covered by insurance.
Cost and insurance for breast lift
Cost is geography dependent. In Florida it runs $8000-10000. More important than price is safety and experience. Also, as an aside, breast lift, has never been a covered procedure with any insurance carrier unless it is to match a breast reconstruction for breast cancer.
Implants and insurance coverage
In my experience, insurance covers only procedures that are medically necessary. Breast implants and lifts are usually elective procedures and not covered by insurance.
Recent Breast Lift Reviews
Breast Lift Photos
Breast Augmentation/Mastopexy and Insurance?
The breast augmentation/mastopexy procedure is considered a medically unnecessary/cosmetic procedure regardless of the causes of the breast hypoplasia/ptosis. Therefore, the procedure will not be covered by health insurances.
Will insurance cover deformed breasts?
Breast Surgery Needed
Unfortunately breast augmentation is a cosmetic operation and will not be covered by your insurance carrier.
Breast Augmentation and Mastopexy / Insurance Coverage for Breast Surgery
It sounds like breast augmentation and mastopexy is just what you need to solve your problem. Although your breast deformity resulted from pregnancies and possibly breast feeding, these procedures are not covered by health insurance policies because there is no medical indication for them. Although it is inconvenient and uncomfortable to have difficulty fitting properly into a bra or bathing suit, it is not considered to be a medical problem or health risk but rather a cosmetic deformity. The only medical indications for which breast augmentation and breast lift procedures are covered by insurance policies are for improving symmetry in patients with breast cancer and in some cases for correction of congenital deformities of the breast.
Insurance coverage limited to Breast Reconstruction after Mastectomy
It is very unlikely any insurance company will cover your surgery. It will be deemed cosmetic. The only breast surgery that must be covered is breast reconstruction after mastectomy as per the only health care mandate that exists in federal law (1998 law). My recommendation would be to visit with an American Society of Plastic Surgeons member surgeon. Their office will likely shared with you options for your surgery including financing plans such as Care Credit.
Insurance will not pay for breast lift and augmentation
I am not aware of ANY medical insurance policy that will pay for this procedure or any other cosmetic procedures.
In fact, we are having an increasingly hard time getting insurance companies to pay for many other Reconstructive Plastic surgical procedures since they like to lump ALL plastic surgery procedures into the cosmetic pile.
Insurance coverage for cosmetic breast surgery
The insurance companies have gotten far away from treating anything that is not what they consider to be "functional." In other words, if you can live, eat, breathe, and work with it, then it is not a funtional problem and not necessary to cover it. Therefore, what you have, while it is very displeasing for you, would be considered entirely cosmetic. You certainly can have a nice restoration but it wouldn't be covered by insurance.
Web reference: http://www.randcosmeticsurgery.com
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.