Ruptured silicone implant 22 years old. What are my options with NJ Health Medicaid?

Ask your primary physician to refer you to a plastic surgeon who does reconstructive surgery. This surgeon can then remove and/or replace your implants. There should be no issue with removal of both and reimplantation of the reconstructed breast. The other breast may need approval.

Hello thank you for your question. I’m sorry to hear you are having so much pain. Insurance will cover the removal of the implant but the whole purpose of the surgery is to remove the capsule, implant, and any inflamed tissues. Insurance does not cover the removal of capsules, typically. You do not want to undergo an incomplete surgery, especially with a rupture. The entire implant and capsule must be removed in ENBLOC fashion for your health.
 

I encourage you to visit with a board certified plastic surgeon near you for an evaluation. The symptoms that you describe indicate intervention is needed. You can speak with your insurance carrier to determine if coverage is provided and what criteria need to be met.