Will insurance pay for a breast lift on a permanently disabled woman with back problems?

Q:

I am a 40 year old disabled woman, who has a permanent back injury.  I have torn muscles in my L5 S1 & S2 in my back.  Due to 4 child births & breast feeding my breasts sag and cause me serious back pain. I have Medicare insurance.  Based on these facts, will insurance pay for my breast lift surgery?

A:

Medicare does not provide cosmetic surgery as a covered service.  A mastopexy or breast lift is considered aesthetic or cosmetic surgery.

Best,

 

 

Gary R. Culbertson, MD, FACS

A:

Medicare does not pre-authorize any procedure.  Also there is no relationship between an empty sagging breast and torn back muscles or back pain.

Breast Lift is purely a cosmetic surgical procedure. It is not covered by any insurance nor should it be.

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