im quite shy about asking this question and I hope my description is clear so here goes! I’m 25 years old I have three children my youngest being 2 almost 3. I have been left with lumpy painful deflated breasts and nipples that fold under my bra and split or some days they invert and I’m wondering how I can fix this problem and if I was to get a breast augmentation would Medicare cover it
The only way that Medicare will consider an item number is if you have a child between the ages of 1 and 7 years, and this is only for a breast lift. Breast augmentation purely for cosmetic reasons is not covered by Medicare.
The nipple problem is due to lack of tissue and this can be resolved by a breast augmentation.
Dr Patrick Briggs
Thanks for the question
Medicare and Private insurance will pay a small proportion of the overall cost of a breast lift as you have children between 1 and 5, provided your nipple is below the bottom of your breasts AND you have problematic symptoms related to this. The inverted nipples will also be partly covered for surgery but there is no cover for breast augmentation unless you have significant asymmetry where one side is partly covered.
Best of luck.
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