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The Daily Horizon

Under what circumstances will insurance cover breast augmentation?

Author

Elijah King

Published Jan 20, 2026

Insurance usually will not cover breast enlargement surgery. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. If you need further surgery later on, your health insurance may not cover that, either. Having breast implants may also affect your insurance rates later on.

Does insurance cover breast revision?

Breast revision surgery is a procedure or combination of procedures performed to improve or correct an unsatisfactory outcome of a previous breast surgery. Health insurance companies will often cover breast revision surgery, particularly if it is associated with: Firm breast implants or capsular contracture.

Does insurance pay for complication from breast implants?

Almost all health insurance policies will not cover “cosmetic surgery” or “complications from cosmetic surgery” but don’t give up so easily. Many policies have exceptions for complications from breast implants under certain circumstances that they consider “medically necessary” or “reconstructive surgery.”

Does insurance cover plastic surgery after accident?

In many cases of facial trauma or reconstruction, surgical costs are often paid partially or entirely by your health insurance company. Even some procedures that are presumed to be primarily cosmetic in nature may be eligible for insurance coverage when performed out of medical necessity.

Can you breastfeed with implants?

Most women are able to breastfeed with implants. Talk to your doctor or lactation consultant about your concerns. Remember that your baby can benefit from any amount of breast milk you’re able to produce, and supplementing with formula is an option if needed.

How much is the average breast implant surgery?

According to the American Society of Plastic Surgeons, the average cost of breast augmentation surgery (augmentation mammaplasty), is $3,947, based on statistics from 2019.

How much does a breast revision cost?

Average Cost of Procedure The choice of new implants, if an implant replacement is needed, will make a significant difference to the overall costs of the procedure. The cost of breast revision plastic surgery, on average, may fall anywhere between $7,000 and $15,000, depending on several factors.

Is breast revision more expensive?

GEOGRAPHY. The cost of breast augmentation and all plastic surgical procedures can vary from place to place. The costs of augmentation are different in California, versus Idaho. California, obviously, will be more expensive. But, prices can even vary within a city.

Do you have to have insurance for breast augmentation?

In general, implant replacements in a noncancer patient are not covered by insurance companies. Cosmetic breast augmentation surgery is not covered under insurance. However, reconstructive breast surgery for breast cancer, which often includes breast implants, is generally covered by insurance.

When does insurance cover a breast reduction surgery?

Breast reduction surgery If you have disproportionately large breasts—so much so that they cause medical concerns and affect your quality of life— insurance may cover surgery to reduce the size. The medical concerns in question include neck and back pain and skin infections.

Is there a way for your insurance to cover breast?

No, insurance does not cover elective breast augmentation. To know what might be right for you, see two or more experienced, board-certified Plastic Surgeons for a complete evaluation to make sure you are a good candidate and that it is safe for you to have breaast augmentation or related breast surgery. I hope this helps.

How often do you need breast augmentation surgery?

Breast implants aren’t always a one-and-done surgery. In some cases, “they contract, rupture, cause pain, get infected, and do all sorts of things they aren’t supposed to do,” says Dr. Cassileth, who has had breast augmentation patients who’ve needed 10 surgeries (and counting) to correct their implants.