Best Plastic Surgeons That Accept Medicare (2021)
Plastic surgeons that accept Medicare will are covered if the surgery is medically necessary. Plastic surgery covered by Medicare can include abdominoplasty and weight loss surgery if it’s a medical necessity. Keeping a detailed record of your treatment programs can help boost your claim, but you may need to find supplemental health insurance coverage to pay for plastic surgery if Medicare rejects your claim.
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UPDATED: Dec 1, 2021
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- Medicare will cover plastic surgery when it is medically necessary
- Medicare Part A will pay for inpatient plastic surgery procedures and Part B will pay for up to 80% of outpatient plastic surgery procedures
- Medicaid will cover plastic surgery, but where you live will determine what kind of coverage you qualify for
If you need plastic or reconstructive surgery, you may be wondering how to use Medicare to cover plastic surgery costs.
Can you claim cosmetic surgery on Medicare? Will Medicare pay for abdominoplasty? The answer is yes, in certain situations.
Medicare will cover plastic surgery when it is medically necessary. To prove the surgery is a medical necessity, you must keep well-documented doctor’s reports noting a negative impact on your health and well-being. Medicare will usually approve claims that directly affect your health and longevity.
If Medicare rejects your claim, however, you may need to find supplemental health insurance coverage to pay for plastic surgery.
Read our guide to learn more about what types of plastic surgery Medicare covers and where you can find affordable plastic surgeons that accept Medicare near you.
Start shopping for a Medicare plan that covers plastic surgery today with our free comparison tool above. Enter your ZIP code to get free quotes from providers in your neighborhood.
Where can I find plastic surgeons that accept Medicare near me?
If you have a Medicare policy, you can take advantage of the tools on the Medicare.gov website to find plastic surgeons near you that accept Medicare. Your coverage will depend on the type of Medicare policy you have and whether or not plastic surgery is considered a medical necessity.
Medicare will cover reconstructive plastic surgeries that are medically necessary, but your Medicare policy will not cover cosmetic surgeries.
When it comes to Medicare coverage, plastic surgeons and cosmetic surgeons are different:
- Plastic surgeons have American Board of Plastic Surgery accreditation and must attend six years of medical school, followed by a three-year residency.
- Cosmetic surgeons must complete a four-year residency to earn certification by the American Board of Medical Specialties.
Two different medical accreditations mean two different surgical procedures. Cosmetic surgery is typically superficial, meaning it doesn’t address any pressing health issues or physical hindrances. Plastic surgery, on the other hand, repairs parts of the body damaged by disease, injury, age, or defect.
Since the distinction between cosmetic and plastic surgeons and their procedures is so fine, how you word your claim and define medical necessity is very important. Therefore, well-documented records of your medical treatment history can show the need for surgery, especially if other non-invasive treatments aren’t working.
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What types of plastic surgery are covered by Medicare?
Medicare will cover most types of plastic surgery. However, the procedures offered by plastic surgeons that accept Medicare in your area could be limited by availability and expertise.
This is a list of the most common types of plastic surgery covered by Medicare:
- Breast reduction/reconstruction
- Skin tag removal
- Deviated septum
- Bariatric surgery
When it is medically necessary, Medicare will cover the costs of the surgery after any deductibles or copays. Therefore, you can typically expect Part A coverage to apply to any inpatient care (minus the deductible) and Part B coverage to pay for up to 80% of any outpatient surgeries.
If you carry additional health insurance, you may be able to apply that coverage and reduce your costs. For extensive procedures that put stress on your budget, follow these tips for how to finance what your health insurance won’t cover to stay ahead of the game.
You can also purchase a Medigap plan to cover the out-of-pocket costs.
Does Medicaid cover plastic surgery?
Yes, Medicaid will cover plastic surgeries that are medically necessary, including those covered by Medicare listed above. Like Medicare, however, you will have to prove the surgery is a medical necessity. Also, it can help to keep a detailed medical record of your treatment history to boost your claim.
However, unlike Medicare, Medicaid depends on state insurance laws. Where you live determines if you qualify for Medicaid and what is covered.
If you don’t qualify for Medicaid in your state, you can still find affordable health insurance near you. Comparison shopping online is the easiest way to find the cheapest healthcare providers in your area and determine whether they offer better coverages than plastic surgeons that accept Medicare.
Enter your ZIP code below to start comparing free Medicare plan quotes from providers in your area.