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Topic: stupid insurance question...

Forum: Living Without Reconstruction After a Mastectomy — Discuss prostheses, swimsuits, bras, and other options for women not having reconstruction or waiting for reconstruction.

Posted on: May 20, 2007 03:31PM

wallycat wrote:

I see so many references for camisoles, forms, special bras, etc. One of the Softee(sp?) camisoles is $59 !!!!!
Is any of this covered by insurance?
Probably not, but thought I would ask first.

Thanks in advance (TIA) and I appreciate all of your thoughts and comfort and suggestions.
I'm in the final stages of making my decision and this board/site has been invaluable!!
Dx 4/07 1 month before turning 50; ILC 1.8cm, ER+/PR+, HER2 neg., Stage 1, Grade 2, 0/5 nodes. Onco score 20, Bilateral Mast., tamoxifen 3-1/2 years, arimidex-completed 4/20/2012
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May 20, 2007 04:12PM Erica wrote:

Actually, yes! Many insurance companies do cover post-surgical camisoles as well as prostheses and bras. My insurance covered two camisoles. Then, when I was ready for fitting, I was covered for three mastectomy bras as well as the two prostheses.

Insurance coverage varies, of course. But it's definitely worth checking. Sometimes the lingerie shops or hospital boutiques that sell the camis will know if your particular insurance covers them.
BreastFree.org (breastfree.org); BreastFree Blog (breastfree.blogspot.com); Twitter @BreastFree
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May 20, 2007 06:23PM caaclark wrote:

Yes, call your insurance company. I know coverage varies but when I first was fitted my company covered my prosth, my swim prosth. and 4 bras a year. Of course I have bought more than 4 bras (anyone who had read my posts must know that by now!) but every bit helps. In fact, since it has been almost a year now I can get 4 more bras in July.

Carol Clark- Author of WHEN OUR MOM HAD CANCER Diag.1/06 at age 40, 1.6cm, 6+nodes, stage IIIa, er/pr+, her2-, chemo, mast. rads, no recon
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May 21, 2007 06:10AM tos wrote:

Yes we have blue cross and I called them to check first before I bought anything and they told me yes but wouldn't give me a specific number on what they pay for each year which was kind of weird. I have to have a script signed by my doc for each item ordered showing that it is necessary and that's all they would tell me.
So I got two scripts from my surgeon for post mastectomy cami's, went to a fitter, she even filed for me and I've never received a bill. You have to make sure your fitter handles your insurance company too.
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May 21, 2007 10:25AM roseg wrote:

If you have a flexible spending account through your work mastectomy things can be reimbursed through that also.

Rose
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May 27, 2007 11:55PM swimfan wrote:

If you live near a Nordstrom's, try there...I just had a great experience...they carry all the forms(paperwork for insurance and "silicone"!) They are a preferred provider for most insurance companies.

R (Recurrence Feb. 2009 1 SupraCL Node & 2 Axilla plus 1 spine met) Dx 4/4/2007, ILC, 4cm, Stage II, Grade 2, 0/5 nodes, mets, ER-/PR-, HER2-

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