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Insurance Issues

Page last modified on: June 24, 2008

At a Glance

If you meet resistance from your insurance company, prepare a strong case in advance of your surgery, with your doctor's support. Persistence pays off. If need be, contact your state legislator, senator, or representative, who can apply additional pressure on your insurance company for you.

If you apply for health insurance to pay for a prosthesis, your insurer may not cover surgical reconstruction later. Be sure to check with your insurance company to find out exactly what they will cover for your recovery and rehabilitation. Most coverage allows for the cost of:

  • two special bras (with prostheses pockets) each year, and
  • a new prosthesis every two years.

It's important to obtain a doctor's prescription for your prosthesis in order to be reimbursed by your health insurer. Be prepared to defend your request. Money for health care is getting tighter. But don't be discouraged: you can usually get this cost partially or completely covered if you are persistent.

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