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Does insurance cover breast prosthesis after a mastectomy?
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drchrysopoulo (Physician - Surgery - Plastic (Verified) ) - 12 / 07 / 2011
Yes, insurance usually pays for the cost of a breast prosthesis after mastectomy. You may need a prescription from your physician.
FitmePerfect (Complementary Care Expert (Verified) ) - 12 / 12 / 2011
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.
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