Medicare AdvantageCoverageMedium impact
MA11.076h, Removal of Breast Implants
Independence Blue Cross·Plastic Surgery, General Surgery·Medical Policy
Effective date
Apr 29, 2026
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.076h for Removal of Breast Implants has been reissued and updated. This is a fresh policy change that affects coverage and billing procedures for breast implant removal services under Medicare Advantage plans.
Action Required
Before April 29, 2026: Billing team must review updated policy MA11.076h for breast implant removal procedures. Verify current coverage criteria and documentation requirements for Medicare Advantage patients. Update billing procedures and staff training materials to reflect any changes in coverage determinations or prior authorization requirements.