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Insurance coverage for prophylactic surgeries?

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Ask-the-Expert Online Conference

Question from Ang: I am concerned about the cost of elective surgery. Will my insurance cover the cost of removal of breasts and/or ovaries?
Answers - Beth Baughman DuPree, M.D., F.A.C.S. If the woman's risk is such that prophylactic surgery has been suggested by either her surgeon or medical oncologist, I have found that most insurance companies will provide coverage for that surgery as it is not considered elective but prophylactic. I personally would not perform a prophylactic surgery on a patient who did not have significant risk of breast or ovarian cancer.
Lynn Hartmann I agree with Dr. DuPree. Occasionally the insurance companies will balk at reimbursement, but if the physician provides documentation of the need for the surgery, they usually do provide coverage.

This Ask-the-Expert Online Conference called Risk Reduction featured Beth Baughman DuPree, M.D., F.A.C.S. and Lynn Hartmann answering your questions about breast cancer risk factors and ways to lower your risk.

Editor's Note: This conference took place in February 2006.

The materials presented in these conferences do not necessarily reflect the views of Breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.

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