Our insurance coordinator is experienced in dealing with insurance companies and will assist you in obtaining coverage for your procedure. If you would like to find out more view the 1998 Federal Breast Cancer Reconstruction Law, which requires insurance providers to cover breast reconstruction procedures.
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 such 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 the 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; and
- Inpatient and skilled nursing facility care in which the length of stay is determined by the treating physician based upon generally accepted criteria for safe discharge.
Please note this coverage will be provided in a manner determined in consultation with the attending physician and the patient. These benefits are subject to any deductible or coinsurance requirements that may apply to your coverage.
For questions concerning your insurance and/or procedure billing, CONTACT US via email or by calling 713-441-1667.
Tattooing Step not Covered
The final stage in reconstruction, nipple tattoos, will be the responsibility of the patient. We will not bill your insurance carrier for this service. Unilateral tattoos will be $200.00 and bilateral will be $300.00. The fees on the tattoo cover the tattoo and one touch up, within a year of the initial tattooing.
Even though this final stage is not covered by insurance, this is a very important step for the overall final presentation and ultimate feeling of femininity. Like the bow on a present, the nipple tattoo helps boost the appearance of a truly natural looking breast. Most of our patients who finish with the tattoo, tell us they are so satisfied they actually feel they look better than before they had surgery!
If for any reason we are not participating providers with your particular insurance carrier our insurance coordinator is experienced in dealing with insurance companies and will assist you in attempting to obtain coverage for your reconstructive surgical procedures.