Is it possible to have a tubal ligation and breast augmentation done at the same time? (No iud/essure!)

Question

If the obgyn and plastic surgeon are able to cooperate, is this a possibility? My husband and I have decided that we do not want more kids, and I've wanted a BA for over 10 years. Our health insurance will cover the sterilization thanks to the ACA but we still have to pay out of pocket for the facility fee. If we combine the surgeries together then we would only have to pay one facility fee rather than two separate ones. How would Insurance handle that? Thanks in advance!

James D. Frost, MD · Answer

I have found that sometimes your perceived savings may actually lead to increased cost.  If you are having the tubal ligation at a surgery center not affiliated with a hospital, you may be able to save money.  If you are having the tubal ligation at a hospital, it may actually cost more because of the way the hospital charges for the augmentation.  So while it makes no sense, you may save money by having separate surgeries.

Christopher Khorsandi, MD · Answer

Having your insurance company pick up the tab for the breast augmentation OR and aesthesis, is insurance fraud.  I don't recommend trying to cheat the system.

Jerome Edelstein, MD · Answer

Hello,Thank you for the question. This is possible. Logistics and cost will be determined with your operating surgeons. All the best

Nelson Castillo, MD · Answer

Thank you for your question and I can appreciate your desire to have a single operation with both procedures performed at the same time. It does result in some cost savings as well as only one recovery.  The two procedures can be performed together but it will require coordination by a willing ob/gyn and plastic surgeon to do so.  Hope that this helps.

Jeffrey A. Sweat, MD · Answer

The answer to this is somewhat complicated and involves a lot of variables.  I would suggest you start with your OB/GYN and ask him or her if there are any plastic surgeons he or she has worked with in the past and who has privileges to perform breast augmentation at the facility where you plan to have your TL.  However, keep in mind that most facility fees are based on time, so if the plastic surgeon is slow to perform the BA, it could end up costing more than performing the BA in an office-based OR.  You will need to get a referral from your OB/GYN then discuss the possibility of combining the surgery with the plastic surgeon.  Insurance will not pay for any part of the augmentation as it will be considered cosmetic.  Best of luck!

Daniel Krochmal, MD, FACS · Answer

Thank you very much for your question.I think that combination can be done together safely.  I would ask your plastic surgeon about that possibility, and fully research the cost of doing it combined vs. separate.  Best of luck!

Matthew H. Conrad, MD · Answer

Can be done at the same time though having implants placed should take priority from a sterility or contamination stand point.  That is, I think the implants should be done first with a team that is used to doing it.

Nicholas Tarola, MD · Answer

Hello and thank you for your question.  As long as it is okay with both surgeons, it is definitely possible to combine the two surgeries.  You will have additional facility fees and anesthesia fees, as well as plastic surgeon fees of course, for the breast augmentation procedure.  The facility and anesthesia will keep track of the insurance time portion and the breast augmentation (cosmetic) portion and charge accordingly.  Your plastic surgeon's office should be able to give you an accurate quote of what to expect with each of these fees prior to your surgery.  Often times, the facility and anesthesia will give some type of discount on the cosmetic procedure when combined with a procedure covered by insurance as opposed to just having the cosmetic procedure by itself.  Hope this helps.  Best wishes!

David A. Lickstein, MD · Answer

Can certainly be done at the same setting.  Typically, you pay a portion of the operating and anesthesia fee for the cosmetic procedure, and your health insurance will cover the medical one.

Ven Erella, MD · Answer

Thank you for your question. Certainly both can be done in one sitting. Your physicians need to coordinate their timings.

Is it possible to have a tubal ligation and breast augmentation done at the same time? (No iud/essure!)

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