Breast Implant for DRASTIC asymmetry- covered by insurance?

Question

I'm 22 years old. My right breast is barely an A & my left breast is a big C. Breast Cancer does run in my family but my problem is my back pain. Ive been to the chiropractor since age 16. My pelvic is slanted, I over compensate for my left side & it has caused tremendous pain on my spine. Will any insurance cover the corrective procedure on my breasts?? Please help.

Jerome Edelstein, MD · Answer

Hello,As others have mentioned, it is probably unlikely that you can get coverage for breast augmentation related to your asymmetry. I would recommend that you check with your primary care physician though- see if they know of a way to help you and meet with a board certified Plastic Surgeon for assessment and planning. If you cannot receive insurance coverage, you may still decide to proceed with augmentation, ( or lift/reduction) and you could apply for financing to help you offset the cost.All the best

William Andrade, MD · Answer

Hello, I think you would need to check with your insurance company to clarify their policy regarding severe breast asymmetry.  In my region (Ontario) sometimes it is possible to get coverage to make one breast larger or smaller.

Brian K. Reedy, MD · Answer

I'm sorry to read about your discomfort, but thank you for your question. It sounds to me like something that could be considered reconstructive and submitted to insurance, however coverage generally depends on your insurance plan and benefits. The first step is to contact the member services phone number on the back of your insurance card in order to locate and consult with a participating surgeon within your area. It's best to bring along any office notes from your primary care physician and chiropractor to support your medically necessary claim. Best of luck!

Arko Demianczuk, MD · Answer

In Canada , coverage for breast assymetry is dependent on the province you live in. In British Columbia, you would likely be insured for reduction of the larger breast, but not augmentation of the smaller one. A balancing mastopexy may be covered by insurance, but this is on a case-by-case basis.

Steven Wallach, MD · Answer

Unfortunately, it is highly unlikely that an insurance company will cover implant for breast asymmetry. Best of luck.

Breast Implant for DRASTIC asymmetry- covered by insurance?

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Breast Implant for DRASTIC asymmetry- covered by insurance?

Answers (10)

Answer: Breast asymmetry

Answer: Breast asymmetry

Answer: Implant for breast asymmetry

Answer: Implant for breast asymmetry

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.