Will Medicaid Pay from Saline Breast Implant Removal?

The only way to know for sure is to visit with a qualified surgeon who contracts with Medicaid insurance.  He or she can help you understand your options and if surgery would be covered by your insurance.  Most of the time, cosmetic implant-related surgery is not covered by insurance - Medicaid or other.

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 that your doctor should be able to diagnose.
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

Thank you for your question.  Sorry to hear that you are having troubles.  Please contact your local Medicaid office.  They will tell you the Board Certified Plastic Surgeons that are on their panel.  I would then see the Plastic Surgeon.  They can submit the case and Medicaid will determine if it is medically necessary, if so they will cover the procedure.  Best to see an experienced, Board Certified Plastic Surgeon.  Together you will work out a plan.Jeffrey J. Roth, M.D., F.A.C.S.Board Certified Plastic SurgeonLas Vegas Plastic Surgery

Many Hospital websites were list the insurance carriers accepted by members of the medical staff including plastic surgeons. Your local Medicaid office is likely to have a listing of plastic surgeons that accept Medicaid.

Finding such  a plastic surgeon would be the first step. that will be up to the Medicaid office to decide whether they considered this medically necessary.

Thank you for your questio,n best wishes.

I'm sorry to hear about the problems you are experiencing after breast augmentation surgery.

Your best recourse would be to visit with board certified plastic surgeons ( you will have to do some research to  find doctors who work with Medicaid). Only after direct consultation, will you be able to have some indication whether removal of your breast implants would be considered “medically necessary”; even then it may be difficult  obtaining “authorization” for this procedure from any type of third-party entity.

 Best wishes.

 

 

The only way to know if your insurance will pay is to call them and ask them. Tell them what you are going through.