Medicare Coverage for Custom Breast Prostheses After Mastectomy
This act aims to ensure that the Medicare program covers the costs of custom fabricated breast prostheses following a mastectomy, including their replacement. Currently, Medicare covers more expensive breast reconstruction surgeries but denies reimbursement for custom prostheses, affecting access for many women, especially older women and women of color.
Key points
Medicare will cover custom fabricated breast prostheses after mastectomy, including replacements.
The change aims to increase access to custom breast prostheses as an alternative to surgical reconstruction.
New provisions may provide financial relief for women choosing custom prostheses over more costly surgeries.
Expired
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