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Will Medicare Cover a Breast Lift/Reduction After a Lumpectomy & Radiation 20 Years Ago?

asked 7 months ago by kathyg
Latest answer by Tom J. Pousti, MD
Question viewed 117 times
Tags: insurance, medicare

4 answers to Will Medicare Cover a Breast Lift/Reduction After a Lumpectomy & Radiation 20 Years Ago?

+1

Breast Surgery and Medicare Coverage?

Thank you for the question. It would be in your best interest to be seen by a well experienced board-certified plastic surgeon to determine whether you are a candidate for the procedure or if the skin changes caused by radiation expose you to significant risks associated with the procedure (such as wound healing problems etc.). Once the plastic surgeon determines you are a good candidate and can document that the procedure is medically necessary then there is a good... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Medicare coverage for breast surgery

Unfortunatelly, Medicare will not prior authorize any surgery so there is no way of knowing in advance whether there will be coverage. They base their decision on whether the surgery is medically necessary. In general a breast lift is not covered as it is considered cosmetic. However, if it is to make the breasts match better after breast cancer surgery, it should be covered. Breast reduction may be covered if it is medically necessary, for example to treat back pain. But you should be aware... more
Margaret Skiles, MD

Sacramento Plastic Surgeon
+1

Will Medicare Cover a Breast Lift/Reduction After a Lumpectomy & Radiation 20 Years Ago?

Please see a boarded PSs in your area to examine you and discuss your options. In many cases breast reconstruction is a covered benefit by medicare.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Will Medicare cover my surgery

I recommend that you seek a consultation from a board-certified plastic surgeon. In order to determine eligibility for a breast reduction, various factors will need to be taken into account such as your height, weight, body mass index, and the amount of tissue that the surgeon estimates can be safely removed. Or, it may be that the procedure will be covered related to your lumpectomy/breast cancer surgery to create better symmetry. Good luck! more
Michelle Spring, MD

Marina Del Rey Plastic Surgeon

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