How do I get breast implants with Medicaid? I have fibrocystic breast disease.

Question

I have fibrocystic breast disease can you get it to where Medicaid covers breast implants

Jonathan Saunders, MD · Answer

you don't. Medicaid and other insurers only cover medically necessary or functional operations. breast implants do not fall into those categories

Vincent N. Zubowicz, MD · Answer

Elective cosmetic surgery is not covered by Medicaid. Breast augmentation is something you will have to save it for and pay out-of-pocket.

Carmen Kavali, MD · Answer

Medicaid is meant for medically necessary services.  Fibrocystic breasts do not mean you "need" breast implants.  They are medically necessary only for breast reconstruction after breast cancer.  Otherwise, breast implants are 100% cosmetic, elective, and not medically necessary.  Medicaid does not and should not cover such a procedure.

Darryl J. Blinski, MD · Answer

Cosmetic Surgery IS NOT a covered benefit in ANY health insurance. Sorry but nice to have you use RealSelf...

Lisa M. DiFrancesco, MD · Answer

Unfortunately, medicaid will not cover cosmetic surgery. Many offices offer financing like credit care to help pay for cosmetic procedures.

Tom J. Pousti, MD · Answer

Elective breast surgery will not be covered through Medicaid or any other type of “insurance”. Personally, I think that the best way to go is to slowly save up for the desired procedure. In my opinion, best to be financially,  psycho socially, and physically stable prior to proceeding with elective surgery.  Patients undergoing elective surgery should understand that additional expenses may  become necessary, in the short or long-term.  Best wishes.

Heather J. Furnas, MD · Answer

In your situation, breast implants would be considered aesthetic, Medicaid will be unlikely to cover it.

Christine Sullivan, MD (retired) · Answer

Breast implants will not be covered by any insurance companies unless you are a breast cancer survivor and having a reconstructive procedure. Best wishes.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Unfortunately the insurance will not cover breast augmentation.If you have significant fibrocystic disease which requires multiple biopsies breast augmentation with implants may not be a viable option for you.

How do I get breast implants with Medicaid? I have fibrocystic breast disease.

Answers (9)

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