Private Insurance

  • Private Insurance Help A step-by-step guide to try to get insurance coverage for your breast implant removal. This guide covers the necessary information to file an insurance claim for breast implant removal surgery.
  • Sample Letters of Medical Necessity for Insurance Coverage of Explantation If you want to have your breast implants removed for medical reasons, and want your insurance company to pay for it, you will need a letter of medical necessity sent from your doctor to the insurance company. If you are using these letters without our guidance, please be aware that these are broad examples that need to be tailored to your specific case. For help writing your own letter of medical necessity, contact us at info@breastimplantinfo.org. 
  • How to Appeal a Denial If you disagree with your health insurer’s decision to not cover a service, you have the right to appeal this decision. Many appeals are approved. Some appeals are handled by your healthcare provider, but you can also appeal a decision yourself. Follow these steps to file an appeal.
  • Sample Appeal Letter Here is a sample appeal letter written for a woman with severe capsular contracture and a ruptured implant who was denied coverage for her breast implant removal surgery. For help writing your own appeal letter, contact us at info@breastimplantinfo.org.
  • Breast Implant Problems? Obamacare Can Help! If you’re having problems with your breast implants, there’s a chance you could benefit from the Affordable Care Act (ACA, or “Obamacare”). There is a window of time called “Open Enrollment” each year when you are able to sign up for a plan through the health insurance marketplace.