Most insurances will cover mastectomy bras and silicone prosthesis if you have had a lumpectomy or mastectomy. It does not matter if it was last year, or twenty years ago.
All insurances require a valid prescription to be on file. This can come from your Primary Care Physician, or Oncologist. Signed prescriptions are valid for one year. If you are unsure if you have a valid prescription on file, please call us. We will be happy to check for you!
Medicare, and most Medicare Advantage plans allow you to receive Three (3) Mastectomy bras every three months; they also allow new silicone prosthesis every 2 years.
Commercial insurances will vary on the quantities covered on Mastectomy Bras. Please call us, and we will be happy to verify your coverage. Most Commercial insurances will allow for a new silicone prosthesis every 2 years.
Have you had a weight change? You may be eligible to replace your silicone prosthesis. This would require the clinical notes from your Primary Care Physician or Oncologist. Feel free to reach out to us if you have questions or concerns.
Medicaid plans will allow you to receive four mastectomy bras per year; that is broken down to 2 (two) bras, every 180 days. Medicaid plans will allow you to replace your silicone prosthesis every 2 years.
We are in network with most insurances. If there is a question on our network status with your insurance, please give us a call so we can verify it for you, and complete any required steps prior to your appointment with us.