  Good News! Insurance companies are required by law to cover the cost of breast reconstruction at any time after mastectomy, including surgery to the opposite breast for symmetry if needed. On this page below are links to the applicable laws. Our patient support staff are well experienced in working with all major insurers and will help you work through the details of your individual insurance plan to help keep your out of pocket expenses to an absolute minimum. If you have experienced a denial of coverage from your insurer please communicate this to our staff as these problems are often overcome with the proper documentation and support. We can assist you with: preauthorization, coding and billing, and insurance appeals and even expedited appeals processes. Contact us for more information: Insurance & Billing Manager View the 1998 Federal Breast Cancer Reconstruction Law, which required insurance providers to cover reconstruction in connection with mastectomy. Read your State Laws regarding reconstruction insurance coverage. Read a current article for more information. Read a recent letter sent to an insurance company explaining the advantages of covering the DIEP flap procedure over their usual "in network" TRAM flap. |
