The Women's Health and Cancer Rights Act (WHCRA) mandates that most group health plans covering mastectomies must also cover breast reconstruction and related services, which can include post-operative garments like mastectomy bras and prostheses. However, it's important to note that WHCRA does not require all insurance plans to cover mastectomies initially.
The Resilience Bra is coded as L8001 for unilateral procedures and L8002 for bilateral procedures. These codes are commonly used by many insurance companies, but coverage can vary. Each insurance provider has different requirements for reimbursement of post-surgical bras, and coverage typically applies after breast cancer surgery. It’s best to contact your provider to understand your specific coverage, out-of-pocket costs, and the timing of when post-surgical bras will be eligible for coverage.
Some providers accept itemized receipts for claim submissions and may reimburse some costs. To submit a claim for the Resilience Bra, obtain an itemized receipt from Three Strands Recovery by emailing sales@threestrandsrecoverywear.com after your purchase. Additionally, secure a prescription from your physician for your mastectomy bra. Complete any other required documents for reimbursement from your insurance provider and submit your claim.
Please note that submitting an itemized receipt to your insurance company does not guarantee reimbursement. Approval depends on your insurance plan's specific coverage and requirements.
*The information provided is for informational purposes only and does not constitute medical or legal advice. Coverage for post-operative garments varies by insurance provider, and reimbursement is not guaranteed. Please consult your insurance provider and healthcare professional for specific guidance related to your coverage and recovery needs.*
