Will Medicare Cover the Removal and Reconstruction of my Second Breast if It is Not Cancerous?
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Medicare/Insurance coverage of other non cancerous breast
The short answer is yes and here is why:
The Federal Women's Health and Cancer Rights Act of 1998 is still the law today
Under the federal Women's Health and Cancer Rights Act of 1998, a yearly notification
of your benefits pertaining to breast reconstruction must be sent to you by your insurance company.
The Women's Health Care Act states that benefits must be provided for:
• Reconstruction of a surgically removed breast
• Surgery and reconstruction of the other breast to produce a symmetrical appearance
• Prostheses and treatment for physical complications from all stages of a mastectomy, including lymphedema
These benefits are subject to the conditions and terms of your plan, including maximum benefit amounts, deductibles
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.