Reconstruction After Breast Cancer: Will Medicare Pay to Replace Ruptured Implants?

I had breast cancer 23 years ago with reconstruction. My implants have been replaced once, 12 years ago, and these are now leaking. Will Medicare pay for replacement? I was not on Medicare when they were replaced 12 yrs. ago. I have no photos but had a breast MRI which showed the leakage.

Doctor Answers (5)

Breast reconstruction

+2

All insurance companies, including Medicare and Medicaid, are mandated by law to cover all breast reconstruction procedures. This includes the primary surgery, implant exchange, symmetry procedures between breasts, and even nipple reconstruction and tattooing.  I would also recommend asking your surgeon about changing to a silicone implant.  These are very safe now and have a more natural feel and look.  I hope this helps.

Kindest regards

Neil J. Zemmel


Richmond Plastic Surgeon
5.0 out of 5 stars 45 reviews

Yes, by law insurance companies must cover

+2

Medicare and private insurance cover must by law cover treatment for the reconstruction of a breast cancer patient.  This includes the the opposite normal breast to obtain symmetry.  

Chen Lee MD, MSc, FRCSC, FACS

Chen Lee, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 4 reviews

Breast reconstruction

+2

All post mastectomy reconstruction is covered by all insurances. This includes problems that may develop later on.

David L. Abramson, MD
New York Plastic Surgeon
3.0 out of 5 stars 4 reviews

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Reconstruction After Breast Cancer: Will Medicare Pay to Replace Ruptured Implants?

+2

Yes they should since you are a breast reconstruction patient. But contact them to make sure prior to any procedure!

Good Luck

Tal T. Roudner, MD, FACS
Coral Gables Plastic Surgeon
5.0 out of 5 stars 77 reviews

Breast reconstruction

+1

Medicare should cover your reconstruction related to breast cancer surgery.  This should not be a problem.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.