Does Insurance Cover Breast Lift?

Breast lift surgery, also known as mastopexy, is a procedure that raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. It’s often performed to address issues such as sagging breasts or nipples that point downward.

Insurance Coverage for Breast Lift Surgery

In general, breast lift surgery is considered a cosmetic procedure, which means it’s typically not covered by health insurance. Most insurance companies define a cosmetic procedure as one that alters appearance but is not medically necessary.

Exceptions to the Rule

However, there are exceptions. Some insurance companies may cover breast lift surgery if it’s deemed medically necessary. For example, if the sagging breasts are causing physical discomfort or pain, or leading to skin conditions due to chafing, the procedure may be covered. Each insurance company has its own guidelines and criteria for what constitutes medical necessity, so it’s important to check with your specific provider.

Conclusion

While insurance may not typically cover breast lift surgery, there are exceptions if the procedure is deemed medically necessary. It’s crucial to understand your insurance policy and discuss your options with both your surgeon and insurance provider before making a decision.

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