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In general, breast augmentation surgery is an elective procedure that is not covered by insurance. Exceptions include scar tissue contracture with hardening around the implant which may be associated with pain and visible distortion of the breast referred to as a Baker IV capsular contracture. Certain plans may cover scar tissue release or removal referred to as a capsulectomy or capsulotomy in order to alleviate pain and deformities of the breast. Breast augmentation for congenital asymmetry or Poland syndrome may also be covered by certain plans. In general, implant replacements in a noncancer patient are not covered by insurance companies.
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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.