Would insurance cover a BA if I have pectus carniatum?

Pectus deformity may well be covered under your insurance if the deformity is severe or if there needs to be some work done on your sternum to correct the problem.  Most cases, however, are not severe enough to be covered by your insurance.  You can always ask your plastic surgeon to try for preauthorization.

While it may be an anatomic anomaly, a  pectus carinatum or pectus excavatum is not a functional problem.  Insurance will not cover breast implants because of this condition.

It never hurts to ask but I am doubtful insurance would cover breast augmentation For chest wall abnormality. Your plastic surgeon can inquire about this for you.

Thank you for the question.  It will be best to check directly with your insurance company to see whether surgery to improve chest wall concerns are considered a cover benefit;  in my experience, unless the chest wall concern is causing a functional problem,  reconstruction of any kind is unlikely to  be considered a "medically necessary" procedure. Generally speaking, breast augmentation surgery may be a great way to help camouflage chest wall concerns/asymmetry.  In other words, with a well executed procedure (carefully positioned  breast implant "pocket" and careful selection of breast implant size/profile), the area of "protruding bone" will likely be covered nicely (you will find a representative case on a recent review posted to our profile: "pectus carinatum coverup").  





Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:







1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.











2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 



In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.



Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.











3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.







I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.  

I would suggest that you first call your insurance carrier and ask if it is a "covered benefit".  If yes, then tell your surgeon's office this when you make the apointment (some surgeons do not take all health insurancce plans and others take none at all).  If it is not a "covered benefit" then no matter how compelling the argument may be, the plan will not pay for the surgery.

As stated by others, insurance will never pay for a cosmetic procedure. Yes, with implants the Pectus Carinatum will be less noticeable since the breast projection and sternal projection are relative. Also, not sure what the definition of "normal" is. We are all different in one way or another. I would not be so hard on yourself.

Insurers will typically pay only for "medically necessary" surgical procedures, and breast augmentation is pretty much universally considered cosmetic.  The only common exception is for surgery after breast cancer treatment, and that is required by legislation, not by choice of the insurers. Sorry not to have a more favorable response for your.  All the best.  

Thank you for your question. Typically insurance companies will not cover breast augmentation to treat pectus carinatum because it is usually a cosmetic issue rather than a functional issue. I would try and find a board certified plastic surgeon in your area and have them evaluate you to determine what options you have. Good luck.

Thank you for your question, for information purposes:plastic surgery has two major divisions(with overlap)1)reconstructive plastic surgery: takes abnormal to normal2)!cosmetic plastic surgery:, takes  normal to better than normalIn your case, this is where overlap can occur.Do yo have any functional or restrictions from your chest?If so you must see your primary care physician and get a referral.then based upon what is found, and the surgeons report your case will be evaluated for its merritt. You can always appeal.good luck in your journey