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Topic: Medicare and needing a lift on non cancer breast

Forum: Employment, Insurance, and Other Financial Issues —

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Posted on: Oct 24, 2019 10:57PM

Woodp721 wrote:

I am a 19 year survivor and from my understanding I can have a breast reduction again or a lift to the non cancer breast to make them both match and to be able to have clothes fit properly again.

My problem is I am retired now and on Medicare.

Will they pay for a lift reduction? How do you find a surgeon who will except Medicare? I live in Dallas

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Oct 28, 2019 09:52AM Moderators wrote:

Woodp721, we're sorry you haven't had any response to your message yet. Our comment will bump your post to the first positions of the active topics and hopefully more members will see it and will reply to you soon to share their experiences and support.

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Oct 28, 2019 11:49AM MinusTwo wrote:

Woodp - if you are on traditional Medicare, you should have no trouble finding a surgeon. Medicare Advantage may be another issue. I'd call your Medicare coverage company - but I'd use the word "revision". It's my understanding once you've had breast cancer surgery, you can always get a revision covered. However I don't know about the other breast if it was never treated.

2/15/11 BMX-DCIS 2SNB clear-TEs; 9/15/11-410gummies; 3/20/13 recurrance-5.5cm,mets to lymphs, Stage IIIB IDC ER/PRneg,HER2+; TCH/Perjeta/Neulasta x6; ALND 9/24/13 1/18 nodes 4.5cm; AC chemo 10/30/13 x3; herceptin again; Rads Feb2014
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Oct 28, 2019 06:48PM Cowgirl13 wrote:

Wood, thanks for posting this. I'm 10 years out from a lumpectomy and didn't have any other breast surgery as I couldn't stand the thought of another surgery. I'm on medicare also. I would like to have the other breast reduced and also wonder if medicare will cover. I have supplemental medicare also. My understanding is that the supplemental will almost automatically cover what medicare would.

Be the kind of woman that when your feet hit the floor each morning the Devil says: 'Oh crap! She's up! Dx 5/28/2009, IDC, Left, 2cm, Stage IIA, Grade 3, 0/4 nodes, ER+/PR+, HER2+ Surgery 6/15/2009 Chemotherapy 8/2/2009 Carboplatin (Paraplatin), Taxotere (docetaxel) Radiation Therapy 12/21/2009 Hormonal Therapy 2/22/2010 Arimidex (anastrozole)
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Nov 30, 2019 07:35PM Artista928 wrote:

I had my first recon with BC PPO. Had a revision on my non cancer side that resulted in changing an implant for symmetry reasons on regular Medicare no problem. I had the same fear. As long as the ps codes it with a post bc dx and not cosmetic it'll be fine. There's no time limit thanks to president bill Clinton.

Dx'd at 50. Doing it all, all by myself. Stopped Letrozole after 5 weeks. Debilitating se's. Back on Tamox now. Dx 6/2/2015, IDC, Left, 6cm+, Stage IIIA, Grade 3, 1/4 nodes, ER+/PR+, HER2- (DUAL) Surgery 8/6/2015 Lymph node removal: Left, Sentinel; Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 11/3/2015 AC + T (Taxotere) Radiation Therapy 5/2/2016 Whole-breast: Breast, Lymph nodes, Chest wall Hormonal Therapy 6/28/2016 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 12/9/2016 Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy 2/14/2017 Femara (letrozole) Hormonal Therapy 3/26/2017 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery 9/1/2017 Reconstruction (right): Fat grafting, Silicone implant
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Nov 30, 2019 09:20PM MCBaker wrote:

I had a lift reduction at the same time as my tissue expander was replaced with the implant. Just before, I balked, but everything was set at that time. Now, I am pleased, and Medicare/Medicaid paid for it all.

Mary Dx 10/3/2018, DCIS, Right, 6cm+, Stage 0, Grade 3, ER-/PR- Surgery 11/15/2018 Lymph node removal: Sentinel; Mastectomy: Right; Reconstruction (right): Tissue expander placement Dx 11/16/2018, IDC, Right, <1cm, Stage IA, Grade 1, 0/5 nodes, ER-/PR-, HER2+ (IHC) Targeted Therapy 12/18/2018 Herceptin (trastuzumab) Chemotherapy 12/19/2018 Taxol (paclitaxel) Surgery 6/27/2019 Reconstruction (right): Fat grafting, Saline implant

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