• Sample Letter of Medical Necessity Here is a sample letter of medical necessity written for a woman with ruptured silicone gel implants and severe capsular contracture. For help writing your own letter of medical necessity, contact us at 
  • Medicare Breast Implant Removal Policies by State Click on your state (or territory) below to see it’s official Medicare policy on breast implant removal.
  • Will Medicare Pay to Remove My Breast Implants? Medicare usually covers breast implant (saline or silicone) removal for certain conditions. Medicare coverage can differ depending on the state where you live. Whether or not Medicare will pay for your breast implant removal depends on many factors. This article will help you figure out if you should be covered for breast implant removal.