Has anyone had their breasts augmented after having children under Medicare?

Question

I am seeing a surgeon about getting some work done om my breasts. I found out that if your youngest child is one but no older than seven, you may be entitled to get your breasts lifted etc. under Medicare. Has anyone done this and can you tell me about it. Eg, How bad where they before. Were you happy with the results...

I know that it is possible, I have had a friend have it done and I have spoken to my doctor.

Answer 1

It sounds like you are under the age of 65 and may not be disabled. You may be confused about two public benefit programs with very similar names....

The thing to know about Medicare is that this program is insurance for acute illnesses of older Americans and certain disabled younger Americans. If you are enrolled in Medicare Parts A and Part B, bills pertaining to procedures that are deemed "medically necessary" will be paid for because it is insurance. If you are on Medicare, you would be paying a monthly premium for this insurance coverage.

"Medically necessary" is the most important Medicare term. Medicare will not pay for any procedure or care that is not deemed as necessary for the recovery or rehabilitation of a patient. For example, a lot of people think Medicare will pay for one's nursing home. Yes, Medicare will pay for limited days of nursing home care that is "medically necessary" --but, if the doctor determines that there will be no further recovery for a person--say someone who just has suffered a stroke and is as good as they are going to ever be physically, well, Medicare benefits basically end. Again, Medicare is insurance primarily for acute illnesses--it was not designed to pay for the costs of day-to-day custodial care--services people need to stay healthy like bathing, feeding, toileting, etc.

Medicaid is a health insurance program for the poor or "medically indigent." Medicaid is only available to folks who meet rigorous financial guidelines. If one qualifies for Medicaid--and folks at the state level determine this--then medical costs might be paid. Rules made at the state level determine whether specific procedures are covered or not. Of course, someone pays this cost, because doctors, surgeons and hospitals have to pay their bills--and that "someone" is the taxpayers. If your surgery is covered by Medicaid, these costs will be shared by the state government and by the federal government.

As I said, rules on what Medicaid covers for younger individuals vary in each state, so you may wish to contact your state's public health office or your local health department --theses places should be able to provide you information on whether this type of surgery is covered. Or, visit with your doctor who may know of a specific person to contact concerning Medicaid coverage.

Hope this helps! Best wishes!

Answer 2

don't know if that is true or not. I'm watching our Q to see.