Looking for a doctor for a breast implant removal covered by my insurance

Question

I have been wanting to remove my implants for about a year. I've seen that my cigna insurance can cover it. I have been having pain on my right implant and since my mom died from breast cancer, I fear that ignoring this pain will provoke the disease onto me. I am trying to find a doctor who accepts insurance for implant removal. I am in the bay area, in California but willing to fly somewhere

Camille Cash, MD · Answer

Typically implant removal is not covered by health insurance so it's a benefit to you that it is.  You may want to start with your insurance carrier for a list of surgeons who take your insurance.  The other way is to call board certified plastic surgeons near you to ask if they accept your insurance.

Chad Robbins, MD · Answer

Unless you have a reason that is medically necessary to remove the implants, insurance will not cover the removal of your implants.  Pain and a history of cancer in your family doesn't mean it is necessary and that insurance would cover it. Start with a Board Certified Plastic Surgeon who can examine you and go from there. You may have a capsular contracture.

Connie Hiers, MD, FACS · Answer

Most insurance companies do not remove breast implants, especially if they are not ruptured. Some companies may remove old gel implants. I would suggest calling different surgeon's offices and see who does take your insurance.

Ronald V. DeMars, MD (Retired) · Answer

You should be comforted that neither pain nor breast implants cause breast cancer. I am unaware of insurance covering any implant surgery unless there is a malignancy. But you can call your insurance company to find out what surgeons accept that company and then start calling the surgeons on that panel.

Steven M. Gitt, MD, FACS (in memoriam) · Answer

Breast implant removal may be covered in cases of severe grade 4 capsular conjectures and/or in the case of a ruptured silicone gel breast implant. Not all insurance companies cover this procedure so be sure to check. Good luck!

Looking for a doctor for a breast implant removal covered by my insurance

Answers (5)

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