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Plastic Surgery

Covered by Medicare

Coverage

Plastic surgery, which is different from cosmetic surgery, is the reconstruction or repair of body parts. This can include defects from birth disorders, burns, or trauma.

Medicare will not cover an elective cosmetic procedure, but there are scenarios in which a cosmetic procedure is deemed medically necessary. That is when Medicare will cover the costs for beneficiaries. These scenarios typically happen after an injury or trauma, or even something that was not previously an issue and is now.

Once the procedure is considered medically necessary, if the procedure is performed in a hospital setting, Medicare Part A will provide coverage. If the procedure is outpatient, Part B will cover the costs.

Costs

The costs will differ depending on the type of surgery and whether it is deemed medically necessary.

What to Know

Common cosmetic procedures that Medicare usually will NOT cover are:

  • Body contouring
  • Breast lift
  • Facelift
  • Liposuction
  • Tummy tuck

Medicare By State

Medicare is regulated by the federal government. However, private insurance companies are allowed to offer various parts of Medicare, and these plans can differ from state to state.

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