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Does Medicare Cover Breast Reduction?

A lot of women ask “does Medicare cover breast reduction?” but while the answers may seem black and white, it all comes down to if the procedure is medically viable and will have a positive impact on your wellbeing.  Your GP or cosmetic surgeon will need to assess the degree of the impacts that the breasts are having on your body and overall health before making an informed decision on whether it’s needed.

Breast reduction covered by Medicare can get confusing, but this is because it greatly varies depending on the individual and the procedure that is generally required. When it comes to breast reduction surgeries, Medicare’s rebates also differ per procedure because of the requirements, the issues at hand, and the person.

In this blog, we elaborate on some of the most commonly asked breast reduction surgery Medicare related questions, so that you can make an informed decision as to if the procedure is right for you.

If you’re interested in booking a consultation with our breast reduction specialist, book online now to start your journey to breast reduction surgery Brisbane.

Is a Breast Reduction Covered by Medicare?

Breast reduction surgery is typically engaged by women with large breasts that inflict long term issues on the body. It works to remove excess fat, tissue, and skin from the breast area, reducing the size and relieving the area of any longstanding problems. If you’ve been wondering ‘does Medicare cover breast reduction?’, there is only one answer.

In short, breast reductions can be covered by Medicare, however there is essentially a lot more that goes into understanding why and how it works. For breast reduction surgery Medicare cover, you must meet specific criteria that will determine whether it is medically necessary for you. Before setting up any further consultations regarding the surgery, it’s recommended that you sit down with your GP or preferred surgeon to discuss exactly what your issues are, and the best medical solution.

Women with large breasts tend to suffer with issues that cannot be resolved unless undertaking a breast reduction procedure. Issues commonly experienced, but are not limited to, include the following:

  • Chronic back, neck and shoulder pain that require pain medication
  • Chronic rashes and skin irritation/infection under the breasts
  • Nerve pain and damage
  • Restricted activity/feeling uncomfortable in their own body
  • Chronic breathing problems
  • Damaged self-confidence due to feeling proportionate
  • Difficulty fitting into bras and clothing

Things to Keep in Mind

Now that we’ve answered the infamous “does Medicare cover breast reduction?” question, there are a few things to keep in mind going into the reduction journey. Throughout the process you will learn about relevant MBS codes that are required for your operation – these help to determine what you will be engaging in, and the relevant rebate for your operation.

However, MBS codes are subject to change or may be eliminated from the Medicare rebate system, meaning it is best to undertake a reduction procedure sooner rather than later, to keep yourself and your bank account safe. At the current moment, Medicare only covers medical and surgical procedures that are clinically necessary for a patient’s health – don’t forget to consult a GP or trusted surgeon.

Trust Brisbane Cosmetic Clinic for Your Reduction!

If you’re feeling confident and are ready to start the journey of your long awaited breast reduction, contact our leading cosmetic clinic Brisbane on 07 3391 5710 to speak with Dr. Georgina Konrat today!

For concerns or information regarding any available treatment options, book an appointment now for tailored and helpful advice. Book online here.

Leaders in Cosmetic Surgery, Acne Treatment and Cosmetic Injections Brisbane

* Our cosmetic injectables Brisbane price list is a guide to the cost of our treatments and procedures only. As per the new legislation in Queensland, quotes for procedures and surgery can only be offered during consultation at the clinic. This new legislation is to protect patients and help raise the standard of care.

It is important to have full informed consent prior to having any procedure or surgery and this can only be achieved at face to face consultation at our clinic.

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