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Do American insurance companies cover breast implant removal surgery?

October 29, 2025

Transcript

Breast implant removal surgery is the removal of breast implants from a person’s body for several reasons.

This procedure may be covered under insurance, depending on if it is a medical necessity, a decision typically determined by the insurance provider rather than the patient or surgeon.

Insurance companies generally exclude coverage for cosmetic procedures or complications stemming from them, yet exceptions may apply in certain cases. These include rupture of silicone gel implants, chronic breast pain, recurrent infections, severe capsular contracture, and Breast Implant-Associated Anaplastic Large Cell Lymphoma or BIA-ALCL, a lymphoma associated with breast implants.

Individuals experiencing these conditions and considering implant removal should first consult a qualified, board-certified plastic surgeon to seek help as well as contact their insurance carrier to discuss coverage.

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