When is Breast Surgery Covered by Insurance?
Breast surgery covers a broad spectrum of plastic surgery procedures. Health insurance providers do not cover breast surgery if it is for cosmetic reasons. However, there are exceptions: Healthcare companies may cover surgical costs when the procedure involves:
- Breast reconstruction
- Breast reduction
- Uneven breasts
These procedures are sometimes medically necessary. For example, if you have had a mastectomy because of breast cancer or have health concerns due to large breasts. Some women have a genetic disposition to asymmetric breasts in which case breast augmentation may be considered necessary. If you have a ruptured breast implant, which has caused you pain and led to a capsular contracture, your health insurance may pay for implant removal, replacement or scar tissue release to alleviate your pain and correct breast deformities.
Some men have gynecomastia – excess breast tissue from hormonal changes during puberty, medication use or genetic abnormalities. Male breast surgery is largely elective and for cosmetic purposes. Health insurance providers generally do not cover gynecomastia costs, but there are rare occasions where the excess breast tissue causes pain or there are signs of a cancerous tumor.
Our board-certified plastic surgeon can help you decipher whether your surgery can be covered by insurance, but the best way to find out is by contacting your insurance representative. In the event that your plan doesn’t cover breast surgery, we can supply you with several financing options.
If you’re interested in breast surgery, please contact Dr. Angelchik in Scottsdale today at 602-375-8888 to schedule your initial consultation. We provide experienced plastic surgery to clients in Scottsdale, Phoenix, Glendale and surrounding Arizona areas.