I have fibrocystic breast disease. Is it possible to have Medicaid cover breast implants for this condition?
Medicaid is intended to cover medically necessary services. Fibrocystic breasts do not constitute a "need" for breast implants. Breast implants are medically necessary only for breast reconstruction after breast cancer. Otherwise, breast implants are considered 100% cosmetic, elective, and not medically necessary. Therefore, Medicaid does not and should not cover such a procedure.
Breast implants are typically not covered by insurance companies unless you are a breast cancer survivor undergoing reconstructive surgery. Best wishes.
Insurance generally does not cover breast augmentation, and if you have significant fibrocystic disease requiring multiple biopsies, implants may not be a viable option.
Cosmetic surgery is typically not covered by health insurance.
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