Is It Possible to Have Insurance Cover Implant Explantation?

Good day! Any
insurance might not cover explantation because it is considered
as a cosmetic procedure, not a medical necessity. More so with your
history of breast augmentation. They may, however, consider covering the
procedure if there is a legitimate medical reason. It is best to
have an in-person examination so that costs will be customized according to
your needs. You may also ask the manufacturer of your implant if explantation
is covered in their warranty or insurance that you paid when you got them. Best
of luck! #RealSelf100

Insurance coverage is different for every person, so you'll have to visit with a plastic surgeon for full assessment and insurance verification for this procedure.

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.

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.

Unfortunately, it is very unlikely that health insurance companies will cover breast implant removal that were placed for aesthetic purposes. However, there is no way to know for sure without attempting.

Best wishes.