Breast Prosthesis

Almost all indsurances cover external breast prostheses post mastectomy. They are usually covered under the DMEPOS (Durable Medical Equipment Prosthetic Orthotic Supplies) portion of a private insurer and may have a separate deductible from general medical treatments. There are usually time and quantity limits and breast prostheses, bras and accessories and these differ depending on the health plan. A prescription is always necessary when billing insurance. Some states require those individuals that fit breast forms and bras to be licensed and/or certified. Medicare covers breast prostheses and bras under some limts with a prescription and when a certified provider is consulted.