Thank you for your question. For the most part, major insurance companies, including Medicaid, do not cover cosmetic procedures, unless it is deemed medically necessary, such as reconstructive plastic surgery. The definition of cosmetic surgery varies, though from an insurance perspective, cosmetic surgery refers to any surgery with the purpose to modify or improve the appearance of a physical feature with no specific medical reason to do so. A medical need could include a condition that causes significant physical dysfunction or psychological distress to a patient, but many health insurance companies have defined criteria to determine if the surgery meets the requirements for coverage. However, most plastic surgeons offer financing for their patients, making the procedures affordable even without insurance assistance.Kamran Azad MD, Board Certified Plastic Surgeon