Does Medicare cover Breast reconstruction after Mastectomy?

Does Medicare cover Breast reconstructive surgery  after bilateral prophylactic Mastectomy for patients with BRCA positive gene mutation and strong family hx (medical history) of breast cancer?

3 answers to “Does Medicare cover Breast...”

A: Medicare covers breast reconstruction

Steven H. Schuster, MD

Dear Violet Medicare does cover breast reconstruction as well as the procedure on the opposite side to make the breasts even.  Many plastic surgeons are willing to accept at least a portion of the costs from medicare and the secondary.  There may be some  additional fees but you should discuss... more

A: Yes, Medicare will cover Breast Reconstruction

Jason C. Ganz, MD

Insurance will cover breast reconstruction following mastectomy. Furthermore, Medicare should also cover any procedure performed on the opposite breast for symmetry purposes. For example, in order to match the reconstructed breast, the opposite breast may require a breast lift or reduction. Medicare and... more

A: Medicare covers breast cancer reconstruction

Otto Joseph Placik, MD

Yes Medicare will cover breast reconstruction following breast cancer reconstruction. However, the fees that they are willing to pay are generally lower than many plastic surgeons are willing to accept. Therefore, many plastic surgeons do not participate nor do they accept assignment for such cases. In these... more

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