Is Breast Lift Surgery (Mastopexy) Covered by Insurance?

Is Breast Lift Surgery (Mastopexy) Covered by Insurance?  | WestportBreast lift surgery or mastopexy is primarily considered as an elective procedure performed for aesthetic purposes. Therefore, in normal circumstances, the costs of this cosmetic surgery procedure will not be covered by medical insurance. Patients can explore various financing options and pay for the procedure in affordable monthly installments.

However, in exceptional situations, the costs of mastopexy may be fully or partially covered by insurance. This will be assessed on a case by case basis, and the patient will require documentation support from the surgeon’s office. Salient, committed, and board certified plastic surgeon Dr. Amir Nasir provides breast lift surgery to patients in New Haven, Westport, Fairfield County, Fairfield, Bridgeport, CT, New York, and surrounding communities and suburbs in this area of the nation.


Assessing the Health Policy

In a few cases, the patient’s health insurance policy may include coverage for a few body lift procedures, which could also include breast lift. Therefore, it is a good idea for a patient to talk to her insurance company and learn about the specific circumstances under which they may be providing coverage for procedures such as breast lift.

In such cases, the patient should ensure that her plastic surgery office has all the necessary information and paperwork to bill the insurance company. When she makes the payment for the breast lift procedure, she should receive an itemized receipt from the surgeon’s office. This will be useful in determining which expenses may be eligible for health insurance reimbursement.


Breast Reduction and Breast Lift

If the patient suffers from oversized and heavily sagging breasts, which are causing back and neck pain, skin rashes, and obstruction in physical activities, she may require breast reduction surgery. In some cases, breast reduction may have to be combined with breast lift to create aesthetically pleasing results.

Many insurers in such cases may entertain the idea of paying for breast reduction, but may decide to exclude breast lift, even if both the procedures have been performed at the same time. In such a case, the patient should ask the surgeon’s office to explain which parts of the costs are attributable to breast lift, so that she knows how much will be her out of pocket expense.

The patient should check with the insurance provider about whether they will cover part of the anesthesia costs, surgical facility costs, and surgeon’s fee that are allocated to breast reduction. If the insurer does not pay what the patient feels is a rightful expense, she may check into grievance procedures, and request for a reprocessing of the bills or for a reconsideration of the decision on coverage.

In case of partial coverage, the patient should also check with the surgeon’s office if she must pay up front, and then wait to be reimbursed by the insurance provider. The insurance company may sometimes cover a part of the pre-surgery testing, if it conforms to their scheduling or frequency requirements. All these aspects should be carefully checked in order avail of the best possible coverage.

Hard working and innovative cosmetic surgeon Dr. Nasir receives patients from New Haven, Westport, Fairfield County, Fairfield, Bridgeport, CT, New York, and nearby areas in the Atlantic northeast for a breast lift.

To learn more about plastic surgery procedures and non-invasive treatments performed by Dr. Nasir at Lotus Cosmetic Surgery Connecticut click here to contact us or call (203) 221-1919.

Dr. Amir Nasir is a Board Certified Cosmetic Plastic Surgeon in Fairfield County serving the towns of Westport, Fairfield, Bridgeport, New Haven, Connecticut, New York City, other surrounding communities, as as well as international patients.

Contact Us

Amir Nasir, MD, Plastic Surgeon
Lotus Cosmetic Surgery Connecticut
SlimStart Lipo Center
One Morningside Drive North, Building B
Westport, CT 06880
(203) 221-5809