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Will my insurance cover the expenses of a mastectomy?

Dr. Michael Roizen, MD
Internal Medicine
Most likely, yes. In addition, the Women's Health and Cancer Rights Act (WHCRA) of 1998 says the plan must also cover reconstructive surgery and the costs of any complications that arise from the mastectomy, such as lymphedema. Consult the fine print of your plan or contact your insurer directly to know for sure.

Each insurance policy is different and you must look at the details of your policy to determine what breast cancer coverage you have. If your policy covers a mastectomy, it must also cover the costs related to reconstructive surgery. According to WHCRA, the Women"s Health & Cancer Rights Act of 1998, insurance companies, HMOs, and group health plans must cover services related to a mastectomy if they cover mastectomies. These costs may include producing a symmetrical appearance with the other breast and any related complications.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.