If you have a capsular contraction that is painful, can you use insurance to have implants removed for medical reasons?

Implant removal is generally not a covered benefit by insurance unless the implants were originally placed for medical reasons, such as reconstruction after breast cancer.  Visit a board certified plastic surgeon near you for a consultation and price quotation.

No, insurance will usually not cover the removal of implants, even with painful hard capsules, unless the implants were done for reconstructive purposes after breast cancer. Elective cosmetic augmentation is not covered by insurance, and neither is the removal, capsulectomy, or exchange of implants covered.

Most insurance companies will not cover implant removal as it is a cosmetic procedure to start.  Some companies will cover removal only (not capsulectomy) if there is a documented silicone rupture on MRI.  Don't let an insurance company dictate what is right for you.  Good luck.