Perth Australia- will Medicare cover swapping my breast for smaller implants?

Question

I've had a lot of back pain since having large implants Originally had tuberous disease was covered first surgery I'd love smaller ones to be rid of constant pain

Ronald J. Edelson, MD · Answer

Occasionally insurance will pay to remove implants but rarely. But they won’t pay for the replacement and they will probably pay very little. Medicare does not preauthorize surgery so you can’t find out for sure. Just do t count on it

Daniel Barrett, MD · Answer

Dear lelanna,
the price is entirely practice dependent. If it was planned to be staged than the cost may be included. If its a revision, typically surgeons only ask the patient to pay for the surgery center and anesthesia. It is unlikely that insurance will cover the costs of revision surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Medicare does not cover cosmetic surgery and does not cover exchange of implants because you want to go smaller.  However, you could check with a University Hospital that has a training program for plastic surgeons. They often offer reduced rates, and the surgeries are all supervised. Most of these surgeons have already completed 5 years of general surgery training so they are not fresh out of medical school.

Perth Australia- will Medicare cover swapping my breast for smaller implants?

Answers (3)

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