Will Medicaid Cover Breast Surgery After Pregnancy?

I had kids and my boobs changed. One is bigger than the other and they sag a lot and the nipples are very deformed.

I wanted to see if I can get medicaid to help with my breast? Is there any help out there for this?

Doctor Answers 9

Medicaid does not pay for cosmetic surgery

Hi Roxy,

Although you describe your breasts as "deformed", virtually all insurance plans consider sagging and droopiness to be cosmetic problems. Insurance companies, including government-sponsored programs such as Medicaid or Medicare, do not cover cosmetic procedures. If it bothers you tremendously, many plastic surgeons participate with third-party financing companies to help make surgery more affordable.

Hope this helps. Best of luck.

Dallas Plastic Surgeon
4.9 out of 5 stars 95 reviews

Medicaid for Cosmetic Surgery

This would be considered cosmetic surgery and insurance companies do not cover cosmetic procedures.  In fact some insurances would go as far as not to cover any complications that can occur from cosmetic procedures.

Hope that helps.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 78 reviews

Probably not

You will have to consult your insurance provider to find out if your breast surgery is covered. However, in general, the answer would be no unless it would resolve a physical impairment directly caused by your asymmetrical breasts, and breast augmentation or a breast lift is proven to be the most suitable treatment for you.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Breast work and medicaid

Unfortunately there is liitle to no chance of having this covered as it is considered cosmetic.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 35 reviews

Medicaid and breast surgery

the type of surgery you are looking to have is not considered medically necessary, just cosmetic in nature and is not covered by Medicaid, sorry.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Breast Augmentation and Insurance

Although surgery for breast cancer reconstruction is covered, insurance companies will not cover breast augmentation surgery that is cosmetic in nature.

Christine Sullivan, MD
Columbus Plastic Surgeon
4.7 out of 5 stars 34 reviews

Medicaid for Breast Surgery

Medicaid will only cover breast surgeries that are medically indicated, These include reconstructive surgery after breast cancer, and very symptomatic breast hypertrophy (large breasts) that fail coservative treatment.

Karen Vaniver, MD
Kennewick Plastic Surgeon
5.0 out of 5 stars 37 reviews

Breast Augmentation is Not Part of Entitlement Programs

Insurance will not cover cosmetic breast augmentation.

Breast reconstruction for deformities or after mastectomy can be submitted to insurance.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.7 out of 5 stars 41 reviews

Medicaid coverage of breast implant surgery

Medicaid will rarely cover any breast surgery other than breast cancer reconstruction following cancer, in my limited experience.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.