Capsular Contracture - Does Insurance Cover it?

Question

Does health insurance cover capsulectomy? And if it does, what grade does it need to be?

Ryan Neinstein, MD, FRCSC · Answer

Depends where you are, in Canada capsular contracture is consdered a coverred benefit by the government as it casused pain

Eugene Kim, MD · Answer

Some insurance companies will cover capsular contracture if it is causing symptoms like pain (Grade IV).  It often requires approval from the insurance company prior to surgery.  I recommend seeing a plastic surgeon for consultation who can check with your insurance company.

Asif Pirani, MD, FRCS(C) · Answer

It depends on the insurance company and where you live.  In Canada, Grades 4/5 are covered.  Ask a PS in your geographical area.Best,

Jourdan Gottlieb, MD · Answer

Most carriers exclude coverage for any complications of cosmetic procedures. When it is covered, it is usually limited to grade 4 CC, and these are quite unusual with implants placed during the last 15 to 20 years. Your plastic surgeon would be the best source of advice. After an exam if surgery is recommended, a letter of preauthorization would be written to the insurer.Thanks for you question, all the best.

George C. Peck, Jr, MD · Answer

Every insurance company is different and every policy within the company may be different.Some insurance companies cover the procedure but of course, it must be precertified.My office is in West Orange.Best wishes

Capsular Contracture - Does Insurance Cover it?

Answers (7)

Answer: Insurance coverage for CC

Answer: Insurance coverage for CC

Answer: Capsular Contracture and Insurance

Answer: Capsular Contracture and Insurance

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Capsular Contracture - Does Insurance Cover it?

Answers (7)

Answer: Insurance coverage for CC

Answer: Insurance coverage for CC

Answer: Capsular Contracture and Insurance

Answer: Capsular Contracture and Insurance

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Everything you need to know about Capsular Contracture Treatment

Our mission is to create a world where every investment in modern beauty is Worth It.