Breast Augmentation: Q&A
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Will Tricare Cover Breast Augmentation for Asymmetry Following a MRSA Infection?
Last year, while breast feeding my first child, I developed a severe case of mastitis which then turned into a MRSA infection and had to have tubes placed in my right breast to drain the infection. Then, I developed a milk fistula which took months to heal. As a result, my breasts became noticeably asymmetrical, and now, with my second child, it has become significantly worse. Will Tricare cover a breast augmentation based on this?
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5 Doctor Answers |
Asked by
Lexatron
in Groton, CT
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Insurance Coverage for Asymmetry
I would suggest that you contact your physician to determine how much damage was caused by the MRSA. I would then contact a reputable board certified plastic surgeon to determine your treatment options. A letter should be written to your insurance company for pre-certification prior to having any procedure. Best of luck!
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You need to ask your insurance company
You breasts are very different in size and shape and the solution is not augmentation only. You will need lift and fat grafting to the right breast for symmetry and lift only for the Left breast.
The insurance coverage will depend on the coverage and company.
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Health insurance
Whether or not your health insurance will cover the procedure depends on the wording of the policy. If you were born this way it is doubtful that they would. If there is a clause in your policy stating they cover deformities arising from infections or trauma and you can prove the breast asymmetry was not there before the infection they will have to cover it. However their coverage will then be limited to getting you closer to what you were before the infection. You will need to have your...
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Los Angeles Plastic Surgeon
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Ask the insurance company
It is your insurance company, ask them. In my experience, insurance covers very little that can be deemed cosmetic.
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Will Tricare Cover Breast Augmentation for Asymmetry Following a MRSA Infection?
Very very doubtful. But call, write, e/mail TRICARE with your issues and see a providing PS for them to obtain a definitive answer.
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