Will Aetna pay for the removal of ruptured silicone implants? What health problems could silicone cause?

Question

I had breast cancer in 2000- mastectomy both breasts. I have had silicone reconstruction. Since then I have had implant surgery three times with silicone due to ruptures. In 2014 was my last surgery. I have golf ball size lumps under arm n are painful n other parts of body sore went to dr n had ultrasound n said was silicone ruptured. Will Aetna cover my surgery to remove not replace Thank you

Camille Cash, MD · Answer

Since your implants were placed for medical reconstruction, their removal should be covered.  However each plan varies, so I recommend contacting Aetna to find the benefit parameters for your particular policy.

Michael Zwicklbauer, MD, FACS · Answer

There are never any guarantees. However in the case of reconstructed breasts removal of the implants is usually always paid for by the insurance company. Good luck and of course if you have pain they are more likely they will pay for it.

Anthony A. Admire, MD, FACS · Answer

Yes, your insurance should cover removal based on your history of breast cancer and the current problems you are having.

Benjamin J. Cousins, MD · Answer

Thank you for your question. In your case, your surgery/care should be covered, however, each plan is different with each having their own rules regulations/restrictions. Best to contact your carrier for the details.Sincerely,Dr. Benjamin J. Cousins MD Board Certified Plastic Surgeon Miami/Miami Beach FL

Scott Thellman, MD · Answer

Insurance companies are all different but in the case you describe I think it is likely to be covered.  See your surgeon and they can evaluate you, discuss the planned procedure, and send a letter to your insurance company prior to the operation to make sure the operation will be covered.  Good luck!

Will Aetna pay for the removal of ruptured silicone implants? What health problems could silicone cause?

Answers (7)

Answer: Insurance companies and authorization

Answer: Insurance companies and authorization

Answer: Implant removal

Answer: Implant removal

Recommended reading

Everything you need to know about Breast Implant Removal

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

Will Aetna pay for the removal of ruptured silicone implants? What health problems could silicone cause?

Answers (7)

Answer: Insurance companies and authorization

Answer: Insurance companies and authorization

Answer: Implant removal

Answer: Implant removal

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Removal

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