Insurance Coverage for breast lift

John Philip Connors III, MD answers: Will my insurance pay for breast lift?

Will my insurance pay for breast lift?


John Philip Connors III, MD
18 days ago

Typically NOT...In my experience, insurance carriers have specific guidelines that have to be adhered to and surgeons have to document before they "preauthorize" surgery. These requirements, although insurer specific, are usually concerned with the symptoms you are having, the duration of symptoms, non-surgical management (physical therapy), and the amount of breast tissue in grams the surgeon plans on removing...i.e. lots of paperwork and lots of waiting.

I suggest that you see a Board Certified Plastic Surgeon who performs a significant number of breast lifts.

I hope this helps and good luck!

Dr. C

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A: A breast lift is usually considered a cosmetic operation

Jeffrey Zwiren, MD
12 months ago

Breast sagging is not usually considered a medical condition thus a breast lift performed only for cosmetic reasons is not a covered procedure.  When performing a breast reconstruction after a mastectomy it is common to have to modify the opposite breast for equalization.  A breast lift performed under these circumstances would usually be covered by insurance. 

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