Can U Get Breast Implants by Having Medicaid or Insurance?

Doctor Answers 9

Will breast implants be covered by insurance?

Cosmetic breast augmentation is not medically necessary and is not covered by insurance.  Reconstructive breast surgery - including the use of implants- can be covered by health insurance including medicaid.  This is most commonly seen in breast reconstruction after breast cancer.

Atlanta Plastic Surgeon
4.4 out of 5 stars 544 reviews


Insurance will only cover breast implants if you have breast cancer.    Breast augmentation is deemed not medically necessary and is cosmetic surgery.

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 212 reviews

Can U Get Breast Implants by Having Medicaid or Insurance?

NO!!!! There must be a medical condition, disease, deformity of severe significance to have the health insurance be in force to pay for the surgery. Small or hanging breasts DO NOT qualify.//

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Not usually

In the US, all cosmetic procedures and related complications are not generally covered by insurance, although this may differ according to your insurance provider. It's best to ask them if they do.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Can U get breast implants by having MedicAid or insurance?

Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance.  Breast augmentation is a cosmetic surgery and should not be covered. 

Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Breast implants and insurance

Breast augmentation with implants is a purely cosmetic procedure and would not and should not be covered by government welfare schemes or health insurance. Politicians and supporters of government-controlled medicine would have you believe that you can have whatever you want or think you need and have it paid for by "healthcare insurance", but no third party would ever pay for or provide breast implants for cosmetic surgery such as a breast augmentation.

Scott L. Replogle, MD
Boulder Plastic Surgeon
4.0 out of 5 stars 1 review

Implants and insurance

Insurance and medicaid only cover procedures deemed to be medically necessary. Breast implants are not medically necessary, unless used for reconstruction, such as after surgery for breast cancer.

Gregory Sexton, MD
Columbia Plastic Surgeon
4.9 out of 5 stars 73 reviews

Insurance for breast augmentation

Unfortunately, the answer is no.  Breast augmentation is considered an elective cosmetic procedure and is not covered by any insurance company.

Mark Deutsch, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 33 reviews

No insurance coverage for cosmetic surgery

No insurance company will cover any cosmetic surgical procedure.  These are elective plastic surgical procedures which you will need to either finance or pay for in advance of the procedure.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 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.