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Topic: Is approval needed for a second mastectomy

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  • Posted on: Oct 23, 2009 05:05 pm
ON
Joined: Aug 2009
Posts: 226
Mantra wrote:

I had a left breast mastectomy in Sept (DCIS, high grade, er/pr -, comedo necrosis etc). I have decided I want to have my right breast removed even though at this point, it appears to be healthy. I can't have an MRI because of tissue expanders. Can anyone tell me if the gov't has any requirements in order to have this covered under OHIP? I have had genetic testing . .  still waiting for results. Regardless, I want to have it removed. I'm just not sure if OHIP has requirements before they will pay for the mastectomy and reconstruction.


Diagnosis: 7/10/2009, DCIS, <1cm, Stage 0, Grade 3, 0/3 nodes, ER-/PR-
Posts 1 - 2 (2 total)
mumayan
Toronto area
Joined: May 2008
Posts: 1,304
Nov 10, 2009 03:18 pm mumayan wrote:

Just ask the same surgeon to remove the other.Thats all I did and it was all covered.


Diagnosis: 4/23/2008, IDC, 5cm, Stage IIb, Grade 3, 2/15 nodes, ER+/PR-, HER2-
lindasa
Joined: Aug 2008
Posts: 1,551
Nov 10, 2009 03:41 pm lindasa wrote:

Mantra, I'm sure Mumayan is right.  After all, if OHIP will pay for a cosmetic breast lift, in order to match the reconstructed one, I can't see why it wouldn't also cover a proph mx and recon.  It's a whole lot cheaper than covering the cost of surgery/chemo/rads if cancer ever pops up the "good" breast.  BTW, I've been thinking of doing the same thing, and then having recon on both.....

Linda

"Hope has 2 beautiful daughters -- anger and courage. Anger at the way things are, and courage to see that they do not remain the way they are." Augustine
Diagnosis: 1/10/2008, ILC, 1cm, Stage I, Grade 3, 0/4 nodes, ER+/PR-, HER2-

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