I had McGhan saline implants placed subglandularly in 2000. I've developed capsular contracture in my rt breast. Since 2006 I've suffered from terrible hair loss, itching skin, fatigue, joint pain. I've seen 3 doctors with all tests negative. Could the implants be the cause? I'm a RN, and I'm wondering if ins ever pays for explantation, or if there are any programs/studies to offset some of the cost. (The implanting dr is retired, so returning to him isn't possible.)
January 31, 2011
Answer: Insurance coverage for breast implant removal (explant)
As stated by Dr. Pelletiere, each policy has its own provisions and do not consider explantation a covered benefit. However, you could contact your insurance carrier or have a plastic surgeon compose a predetermination of benefits letter to your carrier.
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January 31, 2011
Answer: Insurance coverage for breast implant removal (explant)
As stated by Dr. Pelletiere, each policy has its own provisions and do not consider explantation a covered benefit. However, you could contact your insurance carrier or have a plastic surgeon compose a predetermination of benefits letter to your carrier.
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October 7, 2010
Answer: Insurance Coverage NOT Likely For Cosmetic Implant
In general, most insurance companies will not cover anything to do with breast implants if they were placed for aestehtic reasons only, even if you are having pain from them now. It does not hurt to undergo the pre-certifiation process, but I would not hold your breath for a positive response. The chances of your implants causing your symptoms are extremely small. The ten year core and adjunct studies done by both implant manufacturers ( Mentor and Allergan) were unable to find any symptoms or disease processes that were more prevalent in women with or without implants. The same goes for all the European studies, as well as the 1997 Institutes of Medicine study. That is not to say that something cannot go on, but it would be very rare. I hope this helps.
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October 7, 2010
Answer: Insurance Coverage NOT Likely For Cosmetic Implant
In general, most insurance companies will not cover anything to do with breast implants if they were placed for aestehtic reasons only, even if you are having pain from them now. It does not hurt to undergo the pre-certifiation process, but I would not hold your breath for a positive response. The chances of your implants causing your symptoms are extremely small. The ten year core and adjunct studies done by both implant manufacturers ( Mentor and Allergan) were unable to find any symptoms or disease processes that were more prevalent in women with or without implants. The same goes for all the European studies, as well as the 1997 Institutes of Medicine study. That is not to say that something cannot go on, but it would be very rare. I hope this helps.
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