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Rec'd Mail in ref: to reconstruction from employer yesterday

disneyfan2008
Posts: 5385
Joined: Oct 2010

I have our health coverage through my job but oddly we got info in the mail yesterday from my husband's job-obviously just mailed to everyone.

Anyhow it stated that "ALL" reconstruction or surgery to make semmetrical (not sure of exact wording) is coverage by health coverage!

I would assume in past it has not been? MY surgeon after my 2nd lumpectomy (same side) suggested removing FAT from one area to even up surgery side-said covered my most insurance plans>

Denise

sandra4611's picture
sandra4611
Posts: 121
Joined: Sep 2013

For some time now insurance companies that cover mastectomy must also cover reconstruction. I don't know about lumpectomy since most people don't have any reconstruction after that. I would imagine if the procedure had to be repeated or an exceptionally large portion was removed, it would be a different story since any reasonable person wouldn't consider a "fix" to be cosmetic. It may depend on how your doctor words the diagnosis and explains the procedure he/she is recommending. The insurance company might reject it if they think it isn't necessary but even if they do, you could fight it and probably win.

butterflylvr's picture
butterflylvr
Posts: 943
Joined: Apr 2011

Here is a great website explaining to all breast cancer patients what should be covered according to this law passed in 1998.

 

http://www.breastreconstruction.org/breast_reconstruction_insurance_coverage.html

disneyfan2008
Posts: 5385
Joined: Oct 2010

Thanks for the replies\

 

Denise

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