Does OHIP cover breast implants?

Question

I'm 32AA(A?), is there some way to convince them to cover my breast implants? I think its more emotionally scarring to have no boobs at all than 2 cups difference lol

Mathew A. Plant, MD, FRCSC · Answer

OHIP will only cover breast implants for reconstruction of congenital breast defects, such as asymmetry, or for secondary defects as seen with cancer, trauma or infections. I am not sure from your question whether your primary complaint is with small breasts (Both size A or AA) or asymmetry (2 cup sizes difference between them) but if it is the latter then you may be a candidate. In my experience with these cases OHIP has often asked for a letter of support regarding the emotional issues related to the asymmetry from a psychiatrist that has been treating the patient. If you are unsure you can always book a consultation with a royal college certified plastic surgeon in the area to get a better idea of whether you may qualify. Best of luck!

Jerome Edelstein, MD · Answer

Hello,In cases of reconstruction post-mastopexy there is OHIP coverage but Breast Augmentation with implants is typically considered to be an elective, cosmetic procedure for most people.All the best

Stephanie Power, MD, MSc, FRCSC · Answer

Unfortunately not.  Breast implants are considered cosmetic from an OHIP perspective unless performed for reconstruction (for patients with breast cancer or genetically increased risk of developing breast cancer - e.g. BRCA1/2) or significant asymmetry as you mentioned. Best, Stephanie Power MD, FRCSC

R. Stephen Mulholland, MD (retired) · Answer

Dear
irock21488,

In
general, the Ontario Health Insurance Plan will not cover breast implantation
for purely cosmetic and aesthetic enhancement. 
Although it is indeed emotionally disturbing for many women to have
deficient breast volume or projection that does not match their figure, shape
and form the health insurance plan only covers breast reconstruction as a
result of trauma or cancer or congenital asymmetric deficiencies.

I
have been performing breast augment surgery for over 20 years and have found
that meeting with patients preoperatively and reviewing 3D imaging of the
various breast implant size and volume options helps patients more precisely
visualize the range of outcomes that they can expect.

I
hope this information has been of some assistance and for more information,
please review the link below.

Sincerely,

R.
Stephen Mulholland, M.D.

Certified
Plastic Surgeon

Yorkville,
Toronto

Sean Rice, MD - Account Suspended · Answer

In your situation, breast implants are not covered under OHIP.  An example of when breast implants are covered would be for breast reconstruction.  Many clinics offer a variety of payment options, including financing.  Be sure to ask about this option at your initial consultation.

Does OHIP cover breast implants?

Answers (5)

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