A female asked:
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is breast augmentation ever covered by insurance? are there any circumstances in which insurance would pay for breast augmentation?

7 doctor answers
Dr. Mia Skourtis
22 years experience Plastic Surgery
Breast : Breast augmentation is almost always considered a cosmetic procedure, meaning that it is done to improve appearance and not to treat a medical condition. Circumstances where breast implants might be covered by insurance are those in which the procedure is considered reconstructive, such as following removal of breast tissue for breast cancer, or to treat abnormal breast development (total absence of one breast, or abnormal constriction of the breast skin and tissue). All the best, dr. Skourtis.
Answered on Oct 3, 2016
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Dr. Leonard Grossman
35 years experience Plastic Surgery
It : It may be possible in some cases of severe asymmetry and only if you are lucky to get the approval. As a rule, augmentation is a cosmetic procedure and is not covered by insurance. Good luck from nyc. For more info visit www.Drgrossman.Com.
Answered on Oct 4, 2016
Dr. Otto Placik
33 years experience Plastic Surgery
Rarely: It is generally very rare for a third party payor to cover the costs of elective cosmetic breast augmentation unless performed for reconstructive purposes.
Answered on Jan 12, 2013
Dr. Jeffrey Roth
40 years experience Plastic Surgery
Rare issues: Cosmetic breast augmentation is rarely, if ever, paid by health insurance. A breast implant may be necessary in a reconstructive case. See a board certified plastic surgeon. They will guide you through the process. http://www.jjrothmd.com/before-after/category/breast-augmentation.
Answered on Jul 30, 2013
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Dr. Joshua Cooper
19 years experience Plastic Surgery
Only for transgender: Breast augmentation for females is considered a cosmetic operation, and therefore insurance will not cover the costs. However, some insurance companies will pay for male patients, who are in the process of becoming female, to undergo breast augmentation as part of their gender reassignment.
Answered on Oct 4, 2016
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Dr. Joseph Mele
31 years experience Plastic Surgery
Rarely: The vast majority of breast augmentations are performed in healthy women who want larger breasts. For this cosmetic group, insurance is not involved. For breast reconstruction after cancer surgery, burns, trauma or birth defects insurance should play a role. Prior authorization must be obtained in all cases.
Answered on Oct 24, 2017
Dr. Eric Khairalla
Specializes in Plastic Surgery
Sometimes.: Breast augmentation can be covered in some situations where there is significant asymmetry in breast volume or shape due to breast underdevelopment unilaterally, some syndromes with underdeveloped chest muscle and breast etc....Obviously they are covered in women following breast cancer.
Answered on Apr 5, 2014
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A 28-year-old female asked:
Dr. Charles Whiting
26 years experience Obstetrics and Gynecology
Probably not: Most insurance plans don't cover breast augmentation. For the specifics of your coverage, call your insurance company. Best wishes!
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A 38-year-old member asked:
Dr. Elliot Duboys
43 years experience Plastic Surgery
Letter: Frequently breast reduction is covered by insurance. Your best bet would be to consult with a plastic surgeon and have him/her write a letter requesti ... Read More
A 35-year-old member asked:
Dr. Addagada Rao
55 years experience General Surgery
Yes , depends: for beauty NO for back pains YES . In some woman large breasts cause severe back pains and disability , if medically documented ail approve su ... Read More
2
2 thanks
A 21-year-old female asked:
Dr. Addagada Rao
55 years experience General Surgery
Yes , reason is: it is a medical problem , large breast is the cause of severe disabling back pains , if you prove this medical documentation most of the time reductio ... Read More

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