Does medicare cover breast reconstruction after lumpectomy free
Objective. To determine whether arealevel Medicare physician fees for mastectomy and breast conserving surgery were associated with treatment received by Medicare beneficiaries with localized breast cancer and to compare these results with an earlier analysis conducted using small areas (threedigit zip codes) as the unit of observation.
Under the Women's Health Act, group health plans, insurance companies, and HMOs that offer mastectomy coverage must also provide coverage for reconstructive surgery after mastectomy. This coverage includes reconstruction of the breast removed by mastectomy, reconstruction of the other breast to produce a symmetrical appearance, breast prostheses,
Sep 19, 2010 Health insurance coverage for breast reconstruction surgery after mastectomy By Insure. com Last updated: Sep. 19, 2010 The Women's Health and Cancer Rights Act (WHCRA) of 1998 is a federal law that that requires health insurance companies and selfinsured group health plans that cover mastectomies to also provide benefits for mastectomy
Luckily, Medicare does cover breast reconstruction after a medically necessary mastectomy. I wouldn't have been able to afford the procedure without this healthcare. Because my breasts were not going to be symmetrical, the other breast was corrected to create symmetry.
Reconstruction Coverage Under the Womens Health and Cancer Rights Act. Prior to 1998, patients often had to foot the cost of reconstruction following a mastectomy. Health insurers considered breast reconstruction after mastectomy to be a cosmetic procedure that was not medically necessary. Claims were rejected on this basis.
Mar 07, 2019 Most plastic surgeons recommend that you wait at least 6 months to 1 year after lumpectomy before having any surgical reconstruction. This allows your tissues to heal and allows any distortion or asymmetry to stabilize. For more information, visit our section on Altering the Opposite Breast.
Medicare usually doesnt cover cosmetic surgery unless its needed because of accidental injury or to improve the function of a malformed body part. Medicare covers breast prostheses for breast reconstruction if you had a mastectomy because of breast cancer.
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