What are the odds of my insurance covering a revision?

If you have a breast reduction covered by insurance then they should also cover a revision due to a complication. If you did the reduction electively and paid out of pocket then they probably will not cover a revision.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question.
It will take time to heal and for your breasts to settle. Reach out to your surgeon with these concerns. I suggest calling your insurance company to see if a revision is a covered benefit for you. Best wishes!

The likelihood of your insurance covering a revision for complications, such as a seroma or asymmetry, largely depends on whether the original surgery was covered by insurance and whether the revision is considered medically necessary. If your breast reduction was covered by insurance and the complication (such as the seroma and resulting deformity) occurred as a result of that procedure, many insurance companies may cover the revision surgery. However, if the surgery was elective (e.g., paid out of pocket), they may not cover the revision. It is best to contact your insurance provider directly to discuss your situation, and your surgeon can assist in submitting the necessary paperwork. The office may also have a revision policy.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

You can begin by contacting your insurance carrier to discuss your situation and find out the criteria that would be needed for approval if coverage is available. Your surgeon can help you to submit the correct paperwork. If not, your surgeon may offer to work with you on costs to revise your reduction.

If this occurred after a breast reduction, your insurance company may cover the revision. It would be best to contact your company for prior approval, especially if prior approval was needed prior to your first surgery.