Forum - Questions & Answers
prophalctic mastectomy
Is there any documentation anywhere that says Insurance should pay for a
prophalctic mastectomy if a pt has cancer on one side and chooses to have the
other breast removed prophalctically.
re: prophalctic mastectomy
At this time, there is no federal law requiring insurance providers to cover prophylactic mastectomy. Coverage varies state to state. To find out whether your state has a law requiring coverage for the procedure, visit the State Cancer Legislative Database Program at http://www.scld-nci.net/. You can also check with your insurance provider
Source: http://ww5.komen.org/BreastCancer/PreventiveSurgery.html