Is Encapsulation Surgery Covered by Insurance?
Doctor Answers 5
I do not believe that insurance companies will cover the payment for services realted to complications of cosmetice surgery.
Capsular Contracture and Insurance
By law, insurance companies must pay for implants used in breast reconstruction associated with cancer. In fact, before 1998 even breast cancer reconstruction was not universally covered because insurance executives did not think that having breasts were "medically necessary" . It took a law to make that happen. Everything else will be considered cosmetic including capsular contracture and not be covered. Every insurance is different with the exception that they profit by not paying for health care services. There is a perverse incentive to collect premiums from consumers and not pay for care. You have to be your strongest advocate for your health. As a consumer, call your insurance company and make your case. I bet you doctor will arm you with all the medical documentation.
Is Encapsulation Surgery Covered by Insurance? Not typically
Treatment of a capsular contracture tends to be covered only in instances of reconstructive surgery.
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Removing Scar tissue around breast implants is NOT paid by Insurance companies
Medical insurance companies do NOT pay for Cosmetic Surgery nor for the complications of Cosmetic Surgery. The situation may be different for Reconstructive Breast Surgery and depends on the insurance company.
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