Explantation Covered by Insurance?

In some circumstances some insurance companies will cover the removal of ruptured implants -  either saline or silicone. Removal of intact implants is not usulally covered.  If a breast is painful and distorted due to extensive calcification around an implant (and especially around a broken implant) insurance companies will sometimes cover removal of the implants and the capsule.  In no augmentation (cosmetic)  case will the insurance company pay for a lift or for new implants.     If the implants are less than ten years of age and broken there is a possibility that the implant company will replace them ( both even if only one is broken).  Every insurance policy varies so you must check with your insurance  company.

The insurance policies all say basically the same thing: that the sequelae, or consequences, of a cosmetic procedure are cosmetic in and of themselves.  As for claiming that this is a reduction plus lift, that would be insurance fraud.  All the insurance carriers require proof of the amount of gram weight resection accompanied by a pathology report so this procedure would be fee for service.  If you paid to have them put in, then you should pay to have them removed as well.