Explantation Covered by Insurance?

Good day! Any insurance might not cover even a reduction with a lift because it is considered as a cosmetic procedure, not a medical necessity. More so with your history of breast augmentation. They may, however, consider covering the procedure if there is a legitimate medical reason. Do not hesitate to contact your surgeon or an insurance agent regarding your concern. Best of luck! #RealSelf100

The insurance policies all say basically the same thing: that the sequelae, or consequences, of a cosmetic procedure are cosmetic in and of themselves.  As for claiming that this is a reduction plus lift, that would be insurance fraud.  All the insurance carriers require proof of the amount of gram weight resection accompanied by a pathology report so this procedure would be fee for service.  If you paid to have them put in, then you should pay to have them removed as well.

You need to look at your individual policy to see if your insurance contract has a specific exclusion for implant related issues or surgeries.  Each insurance contract can be different.

In more than ten years of experience I have not yet had an insurance company cover the cost of breast implant removal unless the original implant was placed as a reconstructive procedure and the insurance company paid to have it placed.