I’ve been asked to comment on the insurance coverage for breast reconstruction. The following posts will detail the following laws on this issue. On October 21, 1998, the Women’s Health and Cancer Rights Act of 1998, became effective as part of the 1999 Omnibus Consolidated and Emergency Supplemental Appropriation Act. This new federal law requires group health plans and individual health policies that provide coverage for mastectomies to also provide coverage for breast reconstruction in connection with mastectomy.
In accordance with the Women’s Health and Cancer Rights Act of 1998, members receiving mastectomy-related services are entitled to the following benefits:
  • Reconstruction of the breast on which mastectomy has been performed
  • Surgery and reconstruction of the other breast to produce a symmetrical appearance
  • Prostheses and treatment of physical complications at all stages of the mastectomy, including lymphedemas
  • One home health care visit within 48 hours of hospital discharge
  • Outpatient care following a mastectomy performed in a health care facility
  • Inpatient skilled nursing facility care in which the length of stay is determined by the treating physician based upon generally accepted criteria for safe discharge

This coverage will be provided in a manner determined in consultation with the attending physician and patient. These benefits are subject to and deductible or coinsurance requirements that may apply to your coverage.

Back to blog

Back to Blog

Schedule Your Consultation

A private, fully-tailored consultation is your next step to uncovering which surgical route is the right one for you. Dr. Lewis Albert Andres will intently listen to your particular goals in regards to your physical enhancement desires. From there, he will fully discuss all of the available options and meticulously examine

your body to determine with you which is the best course of action to attain your aesthetic objectives. Dr. Andres, a board-certified plastic & reconstructive surgeon in Phoenix & Scottsdale, is committed to delivering some of the best patient care and plastic surgery with honesty, compassion, and expert skill.

Schedule a Consultation
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 480-462-6080.
Contact Us