Would board certified plastic surgeon take Medicare for explant?

I would suggest finding a board certified plastic surgeon in your area who accepts Medicare. Most surgeons who do take Medicare will remove old ruptured gel implants. If the mammagram and/or ultrasound show a rupture, you probably will not need a MRI.

Medicare will cover the removal of the implants if it can be shown that it is medically necessary.  Your test results should reveal whether the implants have ruptured.  If so, you may have coverage for removal.  At that time you can get a referral from your treating physician for a board certified plastic surgeon near you.  Please be aware that a breast lift, implant replacement, or any other procedure that is considered cosmetic will not be covered by insurance.

Medicare will only cover medically necessary procedures. An explant does not necessarily qualify unless a medical necessity can be proven. Capsular contracture and rupture are indications for removal. This will not, however, include cosmetic procedures such as replacement or mastopexy.Once a medical necessity has been documented, you can seek out referral to a board certified plastic surgeon who participates with Medicare.As always, discuss your concerns with a board certified plastic surgeon (ABPS).Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic
Surgery, American Society of Plastic Surgeons
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