The right implant has become very hard and encapsulated and migrated higher two months ago. It has become painful and restricting my shoulder movement. Thank you for your answers.
February 15, 2015
Answer: Will Medicare cover a ruptured Breast implant removal? It is highly likely that your 30plus year old silicone breast implant is ruptured. Thankfully this is not dangerous to your health but the (probable) resulting capsular contracture can be painful and unsightly. It is highly unlikely that Medicare (or any supplement) will cover surgery related to an originally cosmetic Breast augmentation. Many insurance companies used to cover removal of ruptured implants but few ever covered replacement. The problem with Medicare is that they do not allow "predetermination of benefits" so it is very risky to assume they will cover it. I recommend calling your insurance carrier and seeing what you can find out about your specific plan. I recommend seeing an experience board certified plastic surgeon who takes Medicare to find out your options.
Helpful
February 15, 2015
Answer: Will Medicare cover a ruptured Breast implant removal? It is highly likely that your 30plus year old silicone breast implant is ruptured. Thankfully this is not dangerous to your health but the (probable) resulting capsular contracture can be painful and unsightly. It is highly unlikely that Medicare (or any supplement) will cover surgery related to an originally cosmetic Breast augmentation. Many insurance companies used to cover removal of ruptured implants but few ever covered replacement. The problem with Medicare is that they do not allow "predetermination of benefits" so it is very risky to assume they will cover it. I recommend calling your insurance carrier and seeing what you can find out about your specific plan. I recommend seeing an experience board certified plastic surgeon who takes Medicare to find out your options.
Helpful
February 11, 2015
Answer: Will insurance cover implant removal? Each insurance company is different, but it is our experience that Medicare won't cover any procedure that could be considered cosmetic. I would contact your insurance company or schedule an appointment with a plastic surgeon to see what his or her recommendations are.
Helpful
February 11, 2015
Answer: Will insurance cover implant removal? Each insurance company is different, but it is our experience that Medicare won't cover any procedure that could be considered cosmetic. I would contact your insurance company or schedule an appointment with a plastic surgeon to see what his or her recommendations are.
Helpful
