Private Insurance

  • 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.
  • 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 info@breastimplantinfo.org. 
  • Private Insurance Help for Augmentation Patients 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.
  • 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”). You should take advantage of the law while it’s still in place, because good quality health insurance may be less available a year from now.
  • I Got Breast Implants After a Mastectomy. Will Insurance Cover my Breast Implant Removal? Find out if you can get your medically necessary breast implant removal surgery covered by your insurance company.