Medicare And Plastic Surgery: Understanding Coverage And Limitations

does medicare cover plastic surgery?


Medicare is a government-funded health insurance program that provides coverage for eligible individuals who are 65 years or older, as well as those with certain disabilities or chronic conditions. While Medicare covers many medical procedures, the question remains: does Medicare cover plastic surgery?

What is Plastic Surgery?

Plastic surgery is a medical specialty that involves repairing, reconstructing, or altering the body’s appearance. This can include procedures such as facelifts, tummy tucks, breast augmentations, and nose jobs.

Medicare Coverage for Plastic Surgery

Does Medicare Cover Plastic Surgery in Australia? - Costhetics
Does Medicare Cover Plastic Surgery in Australia? – Costhetics

In general, Medicare does not cover elective cosmetic procedures, including plastic surgery, unless it is deemed medically necessary. This means that Medicare will only cover plastic surgery if it is required for the treatment of a medical condition or injury.

For example, Medicare may cover the cost of breast reconstruction surgery following a mastectomy, or eyelid surgery if sagging eyelids impair vision. However, if a patient wants a breast augmentation for purely cosmetic reasons, Medicare will not cover the cost of the procedure.

Costs and Restrictions

If Medicare does cover plastic surgery, the patient is still responsible for certain costs, such as deductibles, copayments, and coinsurance. Additionally, there may be restrictions on where the patient can receive the procedure and which healthcare providers are covered by Medicare.

It is important for patients to discuss their options with their healthcare provider and Medicare representative to fully understand their coverage and potential costs.


In summary, while Medicare may cover plastic surgery in certain cases, such as for medical reasons, it is unlikely to cover purely elective cosmetic procedures. Patients should consult with their healthcare providers and Medicare representatives to fully understand their coverage and any associated costs and restrictions.

Overall, it is important to carefully consider the potential benefits and risks of plastic surgery, and to thoroughly research the coverage and costs associated with the procedure before making a decision.

See also  Kinston Plastic Surgery

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