Will my Insurance Pay for Breast Lift?

Insurance does not pay for breast lifts in general. In special cases such as breast reconstruction, some insurance policies will cover breast lifts.

Insurance will not cover the cost of breast lift surgery.  A breast reduction may or may not be covered by your insurance company but most companies require significant proof of back pain or neck and shoulder pain that is not relieved by more conservative treatment.

There are a few circumstances in which insurance companies will pay for a mastopexy. This most commonly occurs when patients have rashes of the skin in the fold below the breast. Although you need to try treating these rashes with medications first, mastopexy may be covered if that fails. The other situation would be for patients that have breast cancer in one breast and require a breast lift of the other breast in order to achieve symmetry and fit into a bra normally.

In most cases, insurance does not cover the cost of a breast lift because it is generally considered a cosmetic procedure rather than a medically necessary one. However, there are exceptions in certain situations. For example, if the breast lift is part of breast reconstruction following a mastectomy, or if the procedure addresses physical symptoms caused by excessively large or sagging breasts, insurance may provide coverage. Insurance companies typically require extensive documentation of the medical necessity, such as proof of back, neck, or shoulder pain that is not alleviated by other treatments.
If you are considering a breast lift and are unsure about insurance coverage, it is important to contact your insurance provider directly. They can provide specific information about their policies and what criteria must be met for coverage. Additionally, consulting with an experienced plastic surgeon can help determine whether a breast lift or breast reduction is medically necessary, and they can guide you through the process of appealing to your insurance company if applicable.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Typically, insurance does not cover a breast lift as it is considered a cosmetic procedure, not a medical necessity. However, if the surgery is part of a breast reconstruction following mastectomy or is deemed medically necessary due to significant physical symptoms caused by breast size or placement, insurance may cover it. It's important to consult with your insurance provider for specific details about what is covered under your policy and to discuss with your surgeon the medical necessity of the procedure if applicable.

Thank you for your question!  For a straight forward breast lift, insurance carriers view this as an aesthetic procedure.  As a result, it would be very unlikely for an insurance company to cover this procedure unless you were a transgender woman with "really good insurance".  A breast reduction is a sort of breast lift, but we remove breast tissue.  It use to be that insurance companies were much better at covering breast reductions, but even now it's difficult to get these covered unless you go through all the necessary loops to make a case for your breasts to be problematic and interfering with activities of daily living.  Even then, they may deny you a breast reduction.  Another option that could possibly work would be for a very unsymmetrical preoperative evaluation that causes embarrassment and affects one's confidence. This wouldn't be so much for lifting your breasts to look more perky, rather a way to make your appearance more symmetrical and assist with a quality of life improvement issue.  I hope this helps!

Insurance does not pay for a breast lift unless it is part or a reconstructive procedure for breast cancer or part of a medically necessary breast reduction.  Otherwise, insurance companies view a breast lift as an elective cosmetic procedure.  

Unfortunately, a breast lift will not be covered by your insurance. A good thing for you to do would be to call your insurance company to see what procedures might possibly be covered.

Generally speaking, insurance does not pay for breast lifts as it is considered to be a cosmetic procedure but insurance will, in some cases, cover breast reductions.  Each insurance company has set forth a list of criteria that must be met for a procedure to be considered medically necessary.  If you are interested in having a breast lift operation, I would recommend consulting with a board-certified plastic surgeon.  They will be able to perform a comprehensive evaluation, determine whether a breast lift or a breast reduction is warranted, and would therefore be best able to advise you as to the possibility of insurance coverage.  I hope this helps!

Unfortunately, no.  They will pay for a breast reduction surgery if you have met the insurance company's criteria for breast reduction surgery. If your breasts are large enough for a reduction, call your insurance carrier for their guidelines.

Unfortunately, insurance won't cover your surgery unless you have medical issues directly caused by your saggy breasts. But just to make sure, you can always ask your provider.