Will my insurance pay for breast lift?

In addition to the notes below occasionally insurance companies will cover a breast lift for breast asymmetry. If there is a big difference in the shape of your breasts correcting that may be a covered benefit. If both breasts are the same size (approximately) and you are happy with the overall size of the... more

Many patients ask whether insurance covers breast reduction or breast lift.  The important criteria to note in patients requesting breast surgery are as follows: Amount of skin redundancy Position of the nipple areolar complex Volume excess Symptoms or cosmetic complaints Insurance coverage for breast... more

There isn't any coverage available for breast lifting as it is considered not medically necessary. The only way insurance would be involved in a lift is if it were part of a full breast reduction.

Breast Lift (Mastopexy) and Breast Reduction are described by two separate procedure codes ("CPT codes") when a bill is submitted to the insurance carrier.  Health insurance carriers routinely deny payment of the CPT code for Breast Lift (Mastopexy).  This procedure is... more

In general, a breast lift is considered a cosmetic operation and therefore is not covered by insurance.  A breast reduction, if the breasts are reduced at least two cup sizes, is usually covered by insurance (each insurance company has their own criteria and evaluate each case individually).  However... more

A true breast lift procedure will not be covered by your insurance company unless it is needed to match a healthy breast to a reconstructed breast (from breast cancer).  If you desire a breast reduction at the same time as your lift, then it could possibly be covered. This will depend on the amount of... more

Insurance companies are very reluctant to pay even  for procedures that are really medically indicated.   If a woman has large breasts that are causing symptoms, then a breast reduction should absolutely be covered by insurance, and we go out of our wau to help patients with this. But a breast... more

Breast sagging is not usually considered a medical condition thus a breast lift performed only for cosmetic reasons is not a covered procedure.  When performing a breast reconstruction after a mastectomy it is common to have to modify the opposite breast for equalization.  A breast lift performed... more

A "breast lift" or mastopexy is a cosmetic operation and will not be covered by insurance. The mastopexy is designed to recontour the breast so that the tissue and the breast skin envelope are a better match, i.e. that they produce a more projected and uplifted breast. A "breast reduction" in a literal sense... more

I had a patient about seven years ago who was able to get a breast lift authorized by her insurance company due to her severe rashes beneath the breasts.  She worked outside in the heat of the desert and these rashes were debilitating.  Other than such an extreme case, I have not seen this procedure... more