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.

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.