Breast Implant Replacement Surgery

The TAC Medical Excess may apply to these services 

 

 

This policy must be read in conjunction with the Surgery (Elective) policy.

Policy

The TAC can fund the reasonable cost of services associated with breast implant replacement for injuries that are a result of the transport accident.

Guidelines

In relation to breast implant replacement, what can the TAC fund?

The TAC can fund the reasonable cost of the following:

  • Establishing whether there has been any leakage from an existing breast implant where damage is directly caused by the transport accident injuries. This may involve the use of plain-film X-rays, CT scan or MRI
  • If leakage of silicone implants is detected, the TAC will pay the reasonable cost of replacing both implants with saline implants. The TAC will pay the cost in accordance with the Department of Health and Ageing's 'Prostheses List'. Refer to the Surgically Implanted Prostheses policy.

The TAC will pay for the cost of replacing silicone breast implants with silicone implants only when the surgeon can demonstrate that silicone implants are warranted and that the particular implant to be used has been registered with the Therapeutic Goods Administration (TGA).  Silicone replacements can only be used in Australia when registered with the TGA (manufacturers have to demonstrate the quality, efficacy and safety of a particular silicone implant to the TGA).

See also 'In relation to elective surgery what will the TAC not fund?' in the Surgery (Requests) policy.