After a mastectomy, breast reconstruction is covered

Tuesday, September 20, 2016

By: Jeff Ash

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breast reconstruction


Did you know? Federal law requires that most group insurance plans that cover mastectomies also must cover breast reconstruction for breast cancer patients.


Deductibles and co-pays apply, of course, but the bottom line is ensuring that women know their options and are offered breast reconstruction surgery, whether immediately after a mastectomy, after other breast cancer treatments are done, or later.


“This coverage is so important for women with breast cancer,” says Dr. Elizabeth O’Connor of Plastic Surgery & Skin Specialists by BayCare Clinic. She is a plastic surgeon who is fellowship trained in reconstructive breast surgery.


“It’s important that they know how and when they can have reconstructive surgery after a mastectomy.”


Even so, most women who have a mastectomy for breast cancer do not have breast reconstruction surgery, according to a study published in the Journal of the American Medical Association.


The federal Women’s Health and Cancer Rights Act, signed into law in 1998, requires that post-mastectomy benefits cover:


  • Rebuilding a breast.
  • Surgery or reconstruction of the other breast to make both look symmetrical or balanced.
  • External breast prostheses or forms needed before or during reconstructive surgery.

To learn more about breast reconstruction surgery after a mastectomy, please call 920-288-8240. You also may request an appointment online.

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BayCare Clinic,, is the largest physician-owned specialty-care clinic in northeastern Wisconsin and Michigan’s Upper Peninsula. It is based in Green Bay, Wisconsin. BayCare Clinic offers expertise in more than 20 specialties, with more than 100 physicians serving in 16 area communities. BayCare Clinic is a joint partner in Aurora BayCare Medical Center, a 167-bed, full-service hospital. Follow BayCare Clinic on Facebook and Twitter.