Breast lifts often not authorized for insurance

Steven Wallach, MD answers: Will my insurance pay for breast lift?

Will my insurance pay for breast lift?


Steven Wallach, MD
9 months ago

I have never had a breast lift authorized for insurance even in massive weight loss patients that have rashes on their chest from the hanging tissue. On the other hand a formal breast reduction  can usually be authorized if the patient has symptoms of macromastia (large breasts) and this operation lifts the breasts as well.

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A: A breast lift is a cosmetic operation which should not be paid for by insurance.

George J. Beraka, MD
12 months ago

Insurance companies are very reluctant to pay even  for procedures that are really medically indicated.   If a woman has large breasts that are causing symptoms, then a breast reduction should absolutely be covered by insurance, and we go out of our wau to help patients with this.

But a breast lift is done just to make you look better and so it is really not medically necessary.

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A: It actually depends

Kenneth R. Francis, MD
12 months ago

Angela,

When I first read your question I thought "Are you crazy?".  Then I thought about it for a few seconds.  There are certain conditions of a congenital or genetic nature that may qualify for insurance.  One example is a "snoopy breast deformity".  If your breast sagging or ptosis is from aging, pregnancy or breast feeding then the initial question applies.

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