Does Health Insurance Pay For Breast Revision?

In some cases breast revision is considered a medically necessary procedure. As a result, the costs of this procedure can sometimes be covered by your health insurance. Our practice accepts most PPO insurance plans. If you have PPO insurance, we will provide free insurance verification for you. Fill out the insurance verification form below to determine if this procedure will be covered by your plan.

See if you qualify below…

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Does Health Insurance Pay For Breast Revision?

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In most cases, health insurance does not cover the cost of breast implant revision when the procedure is performed for cosmetic reasons or elective purposes. Breast implant revision surgery is typically considered an elective or cosmetic procedure, and health insurance policies generally do not provide coverage for elective cosmetic surgeries.

However, there are situations in which health insurance may contribute to the cost of breast implant revision. These situations include:

  1. Medical Necessity:
    If breast implant revision is deemed medically necessary for reasons such as correcting complications, addressing implant rupture, or managing health issues, there may be a possibility of insurance coverage. Documentation and justification of medical necessity are crucial in such cases.
  2. Breast Reconstruction After Mastectomy:
    Health insurance may cover breast implant revision in the context of breast reconstruction after mastectomy. In cases of breast cancer or certain medical conditions, insurance may contribute to the cost of reconstructive surgery, including revisions.
  3. Contractual Agreements:
    Some insurance plans may have specific contractual agreements or exceptions that allow coverage for certain elective procedures. Checking with the insurance provider and reviewing policy details is essential to understand coverage options.
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Does Health Insurance Pay For Breast Revision?

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