What do I need to do if I have an intracapsuler rupture? Is this covered by Medicare?
Doctor Answers 5
Ruptured Gel Implants
It is unlikely that Medicare will cover complications from a cosmetic breast augmentation. From your description, I believe that something else is going on, in addition to the ruptured implant which should not have caused your breast to get very large and painful. You should seek consultation with a board certified plastic surgeon for evaluation and treatment as soon as possible.
What do I need to do if I have an intracapsular rupture? Is this covered by Medicare?
Best of luck,
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Intra capsular rupture
Thank you for your question. I answer based on assumption that the implants were placed for elective cosmetic reasons and not reconstruction. Typically Medicare or other insurance carriers will not cover implant related issues if placed for cosmetic reasons. With a known implant rupture the recommendation is removal and replacement of the implant and many surgeons would also remove the capsule. Many of the implant manufactures have warranties for device failure but you would need to contact them for specifics if it were done overseas. I recommend seeing a board certified plastic surgeon for an in person exam. Best Dr. L
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