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Cosmetic and Plastic Surgery

Insurance

Plastic surgery can be covered by insurance

Although most plastic surgery is considered cosmetic, some procedures are medically necessary and may be covered by health insurance. Certain plastic surgery procedures are health-related as they help fix and prevent serious health problems. For example, breast reduction surgery to relieve back and shoulder pain is one example of plastic surgery that may be covered by insurance. Other common plastic surgery covered by insurance is listed below.

  • Insurance Specialists work directly with your insurance company on your behalf
  • Highly successful at gaining approvals
  • We accept most PPO insurances

We work closely with most major insurance providers such as Blue Cross, Blue Shield, Aetna, United Healthcare, Group Health, First Choice Health, and many others. Our insurance specialists will work with your insurance company to help you get approved. If we are able to get you approved your surgery may be performed at little or no cost to you.

Free Cosmetic & Plastic Surgery Insurance Verification

The first step is to call us 888.276.1535 and our cosmetic and plastic surgery insurance specialists will do a free insurance verification for you. Simply provide us with your insurance card information and we’ll do the rest. You may also complete the form below and we’ll contact you the same day with answers to whether your health insurance will cover plastic surgery.

Plastic Surgery that may be covered by insurance:

Breast Reduction

If you have excessively large breasts they may be causing you pain in the shoulder, neck and back area. A breast reduction can reduce your breast size to relieve pain and free you to enjoy a more active lifestyle. Many health insurances will cover breast reduction surgery if you are:

  1. experiencing pain in your neck, back, and shoulder area,
  2. have skin rashes underneath your breasts, and
  3. have deep bra strap grooving.

Insurance will also require a minimum amount of breast tissue to be removed. This will be determined during your consultation with us.

Removal of breast Implants (Capsulectomy)

If breast implants have begun to harden, change their shape or feel painful then you may have capsular contracture. This thickening or contracture of the capsule is a common complication of breast implant surgery and requires medical attention. 

Therefore, most health insurance companies will cover the cost of breast implant removal due to capsular contracture. If your breasts feel hard to the touch, have changed shape, or are painful, speak with our insurance specialist about insurance covering the cost of breast implant removal.

Removal of excess skin (Panniculectomy):

Removal of excess skin after dramatic weight loss is often medically necessary to relieve painful rashes and improve mobility. Insurance may cover the cost of a panniculectomy if the excess skin hangs to the level of the pubis and is causing painful rashes that are not responding to creams, powders, or other conservative treatments.  Insurance companies will also want to know that the person has maintained their weight loss for at least six months.

Enlargement of Breast in men (Gynecomastia)

Gynecomastia in men occurs when breasts are over-developed or enlarged. It can occur at any age due to hormonal changes, weight gain, heredity, or the use of certain drugs. Gynecomastia can impact your self confidence and cause emotional distress. 

Insurance companies may cover gynecomastia if a tumor may be developing or if the area is painful.   

Drooping of Upper Eye Lids (Blepharoplasty)

As you age, excess eyelid skin may begin to droop over your eyes and impair your ability to see. If your vision is impaired Blepharoplasty may be covered by insurance. To determine if insurance will cover eyelid surgery, you will need to have an eye exam where a visual field test will be performed. The test will be done in your normal eye drooping position, followed by taping the eyelid open to compare the difference. If your vision is impaired in your normal eye drooping position compared to the taped open position then your insurance may cover blepharoplasty.

Insurance companies will also often require photos of the drooping eyelids.

Hernia Repair

A hernia is a weakening of the abdominal wall muscles that may result in the protrusion of fat or other tissues through the abdomen. In people who are considering a tummy tuck, a hernia may also be present. The hernia can be covered by insurance as it is medically necessary. The tummy tuck and hernia repair are often done at the same time.

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Call us at 888-276-1535 | 8am–9pm Monday–Friday | 9am–5pm Saturday | 10am–4pm Sunday

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During your consultation we will assess and determine which procedure will produce the best results for your specific issue.
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