Is there a way for your insurance to cover breast augmentation?

Thanks for sharing your concerns with us. Insurance usually doesnt cover plastics surgery. There is an option to make the procedure you want at an affordable cost, so you will not have to incur financial loans.In this regard, you have the possibility of getting a plastic surgery with high quality standards: with Board Certified Plastic Surgeons, in medical centers that follow international standards of patient safety and in comfortable and supervise recovery places after procedure, all for an affordable investment and reasonably lower than the standard values.In that sense I recommend considering coming to the Dominican Republic, its proximity to the US (45min).the "all year summer" and its political and economic stability, as a remarkable development, have made an excellent and safe destination for medical tourism and specially in Plastic Surgery, which it is already a global reference.Finally, i invite you to contact a Board Certified Aesthetic and Reconstructive Plastic Surgeon of the DR, send your photos and get the free consultation and budget: you'll see, you'll be surprised.Respectfully,Dr. Emmanuel Mallol Cotes.-

It is not luckily that your insurance will cover breast augmentation.  Regarding cost, it is often not the best approach to find the cheapest plastic surgeon. Does the surgeon
specialize in this procedure? What are their credentials? How long have they
been in practice? What percentage of their practice is cosmetic surgery? How
many of these surgeries have they performed? Do they use the latest techniques?
What do their results look like? Do they have photos to show of their work? Do
they provide follow-up themselves, or will you only see the nurses (or even
just an assistant)? Are they available by phone for an emergency or does one of
their staff answer after-hour calls? What is the impression you get from their
office and staff? Are they professional and informative? Do they know what they
are talking about? You need to ask yourself all of these questions.



When
comparing quotes from different doctors, check to make sure that the costs you
are quoted are for the same thing! Check to see what type of anesthesia and
facility you are going to be treated in. If the total price is lower but you
are not going to receive proper anesthesia from a board certified
anesthesiologist, then are you getting a better deal (or inferior treatment)?
If the facility is not a certified outpatient surgery center but is an
in-office procedure room, is the difference in safety worth the cost reduction?
If the doctor is not a board certified plastic surgeon, is that worth the
discount in the fees? I would say the answer to all three of these questions is
no!



Assuming you
are talking about a board certified plastic surgeon with plenty of experience
in breast augmentation, you need to find someone who you trust. This is your
body, make sure you are making decisions based on the quality of care, the
experience and training of the doctor, and proven results! Cost alone should
not be the deciding factor.



The prices can vary from state to state, and from city to
city. Our costs, including the board certified plastic surgeon's fees, board
certified anesthesiologist's fees, operating room, saline implants, labs, scar gel,
vitamins, and follow-up at 1 day, 1 week, 1 month, 3 months, 6 months, and
every year after that forever, are around $5500. If you need more follow-up
appointments, those are free as well.

Congratulations on your weight loss. The breast augmentation surgery is an elective cosmetic surgery that is not covered by insurance. My patients that have lost significant weight need volume replacement and sometimes a lift as well. Get evaluated by  board certified plastic surgeon and decide on implant size and style.

From your description it seems as if you are a good candidate for breast reduction. Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses

Thank you for your question about breast augmentation.No, insurance does not cover elective breast augmentation.To know what might be right for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have breaast augmentation or related breast surgery.I hope this helps.

Great job on your weight loss! Cosmetic surgery is not covered by insurance. Many plastic surgeons have finance plans available. You might schedule a consultation with a Board Certified plastic surgeon and talk about your options with them.

First of all, congratulations on your weight loss. It's an amazing, life altering achievement and you should feel really proud of your new body even with your smaller breasts. However, if you want them larger, a breast augmentation sounds like the right solution for you. Unfortunately, it is an elective cosmetic procedure that is not covered by insurance. Talk to a board certified plastic surgeon in your area to get a quote and see whether or not it can work with your budget. 

Insurance companies are very good about covering initial weight-loss surgery but unfortunately very bad about helping weight-loss patients with the ramifications and skin reduction procedures that typically follow.  They will consider augmentation an elective cosmetic procedure.  Rarely they will help cover using your own tissue and adding volume combined with a breast lift, but nearly all the time an implant is required to get the volume weight-loss patient would like to achieve.  Most insurances do not look at symptoms any longer as a determining factor for approval...sad to say.All my Best!Dr B

As you know, breast augmentation with implants that are for purely aesthetic reasons are generally not covered by insurance companies. However, in your case, having lost a large volume of weight, if you have inframammary intertrigo (inflammation on the underside of each breast from the edges rubbing against one another) requiring antibacterial or steroid creams, your insurance company might respond in your favor. Of course all would have to be fully documented. All the best to you, and wishing you happiness with your aesthetic issues. 

Congratulations on your amazing weight loss.  You should be very proud of yourself.  The recovery process after massive weight loss is not all that easy.  Self esteem issues abound, both before and after weight losses such as you have experienced.  Because of the dermatologic issue you have under your breast, some insurance policies may cover a breast lift.  Speak to both your insurance carrier and your plastic surgeon to determine if there might be some insurance coverage.If you are fortunate to have insurance to cover the breast lift, then it may be possible for your plastic surgeon to split up the cost of your surgery, the part covered by insurance and the part covered by you for the placement of an implant in a lifted breast.