Medicare AdvantageCoverageMedium impact
MA11.076h, Removal of Breast Implants
Independence Blue Cross·Plastic Surgery, General Surgery, Oncology·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA11.076h regarding removal of breast implants has been updated with an effective date of October 1, 2025. This is a very recent policy change that may affect coverage criteria, prior authorization requirements, or billing procedures for breast implant removal procedures.
Action Required
By October 1, 2025: Billing team must review the complete MA11.076h policy document at the provided URL to understand specific changes to breast implant removal coverage criteria. Update prior authorization workflows and billing procedures as specified in the full policy. Notify plastic surgery and oncology providers of any new requirements.