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Will Medicaid Cover Breast Surgery After Pregnancy?

I had kids and my boobs changed. One is bigger than the other and they sag a lot and the nipples are very deformed.

I wanted to see if I can get medicaid to help with my breast? Is there any help out there for this?

Asked 30 months ago by roxy1984 in Vineland, NJ
Sort 7 expert answers by:
+1

Medicaid and breast surgery

The type of surgery you are looking to have is not considered medically necessary, just cosmetic in nature and is not covered by Medicaid, sorry.
Julio Garcia, MD
Las Vegas Plastic Surgeon
+1

Breast Augmentation and Insurance

Although surgery for breast cancer reconstruction is covered, insurance companies will not cover breast augmentation surgery that is cosmetic in nature.
Christine Sullivan, MD
Columbus Plastic Surgeon
+1

Medicaid for Breast Surgery

Medicaid will only cover breast surgeries that are medically indicated, These include reconstructive surgery after breast cancer, and very symptomatic breast hypertrophy (large breasts) that fail coservative treatment.
Karen Vaniver, MD
Seattle Plastic Surgeon
+1

Breast Augmentation is Not Part of Entitlement Programs

Insurance will not cover cosmetic breast augmentation. Breast reconstruction for deformities or after mastectomy can be submitted to insurance.
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+1

Medicaid coverage of breast implant surgery

Medicaid will rarely cover any breast surgery other than breast cancer reconstruction following cancer, in my limited experience.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Medicaid does not pay for cosmetic surgery

Hi Roxy, Although you describe your breasts as "deformed", virtually all insurance plans consider sagging and droopiness to be cosmetic problems. Insurance companies, including government-sponsored programs such as Medicaid or Medicare, do not cover cosmetic procedures. If it bothers you tremendously, many plastic surgeons participate with third-party financing companies to help make surgery more affordable. Hope this helps. Best of luck.
Sam Jejurikar, MD
Dallas Plastic Surgeon
+1

Medicaid for Cosmetic Surgery

This would be considered cosmetic surgery and insurance companies do not cover cosmetic procedures.  In fact some insurances would go as far as not to cover any complications that can occur from cosmetic procedures. Hope that helps.
Farbod Esmailian, MD
Orange County Plastic Surgeon
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