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 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
RealSelf Verified Member
RealSelf Top 100
RealSelf
Hall of Fame

In general, Medicare's benefits apply to medically necessary treatment for covered conditions. If your breast implants must be removed because the outer shell has broken, there is an infection or it prevents treatment for breast cancer, it may qualify for Medicare coverage through Part A. Await the results of your tests, and then phone several board certified plastic surgeons' offices to ask the patient coordinator whether Medicare reimbursement for implant removal is accepted. Care Credit and Alphaeon may allow you to finance the surgery if Medicare does not cover.