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Typically the insurance companies pay only for surgeries that are related to medically necessary conditions.
Thank you for your question. Please contact your local Medicare office. They will tell you the Board Certified Plastic Surgeons that are on their panel. I would also contact the Blue Cross/ Blue Shield office. I would then see the Plastic Surgeon. They can submit the case and Medicare will determine if it is medically necessary. If they determine that it is medically necessary they will cover the procedure. They typically do not cover implant issues if placed for cosmetic reasons. You have a better chance with coverage if they were placed for reconstruction or, if they are ruptured gel implants placed before 1992, (old style silicone). The other issue is that Medicare does not give pre-approval, so the decision of coverage is made after the operation is done. Blue Cross/ Blue Shield may pick up the cost but the decisions are so variable as to not even guess. 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
Typically implant removal is not covered by insurance. Sometimes there is an exception for older silicone implants that have ruptured. The best way to determine if you have coverage is to contact your insurance carrier. If you are not having issues with your implants you may be able to have them removed under local anesthesia in the office to save on costs.
BCBS does not cover removal of implants since they were placed cosmetically. Medicare may cover removal of old ruptured gel implants. If you had breast implants for reconstruction after cancer surgery, insurance does cover removal.
It is doubtful that an insurance company will pay to remove implants when they were placed for a cosmetic reason. I would call your insurance company to find out. Good luck.
It is highly doubtful that insurance will cover this surgery. You need to contact your insurance carrier for an explanation of your benefits.
The hole is not necessarily concerning on its own. When it is coupled with pus, foul smelling drainage or other red flags such as fever or chills it could indicate infection. It could also indicate a potential suture abscess which can be addressed in the surgeon's office. If it does not...
This situation is best discussed with your surgeon. More information is needed to determine if there is a cause for concern. Your manipulation may have irritated something causing it to bleed. The amount and color (deep red, red tinged etc) of the drainage will need to be reported to your...
From the limited photos it does not appear that you have much breast tissue. Your surgeon will be able to provide more information during an exam. You can also discuss options such as smaller implants or a lift at that time.
