Claim for External Breast Prostheses Reimbursement Program Humanservices Gov Form
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People also ask
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How to get free breast prosthesis?
Impact One provides Hope Boxes with breast prostheses, bras, wigs or post-surgical garments to women diagnosed with breast cancer. Knitted Knockers is a national nonprofit that provides free knitted prosthetics to mastectomy patients.
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How to get free breast prosthesis?
CancerCare's Breast Prosthesis Clinic Women with breast cancer who have had a mastectomy are eligible to receive a prosthesis and bra. During an individual 30-minute fitting, women can try on mastectomy bras and breast prostheses with assistance from a trained fitter (in-person fitting requires COVID vaccination).
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What is the billing code for breast prosthesis?
HCPCS Code for Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type L8002.
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How often will Medicare pay for breast prosthesis?
Medicare will cover as many mastectomy bras as determined to be medically necessary by your doctor. Medicare will cover one silicone breast form (or two for a bilateral surgery) every two years or one foam form (two for bilateral surgery) every six months.
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How often can you get a breast prosthesis?
The law also covers the replacement of a prosthesis, mastectomy form or breast prosthesis garment when the life span of the item has lapsed. Insurer policies on this vary but many will replace: Silicone prostheses every 2 years. Mastectomy forms made of fabric, foam or fiber-fill every 6 months.
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What is the average cost of a breast prosthesis?
How much do breast forms cost? Silicone breast forms vary in cost depending on the features, but most average around $200-300. Post-surgical and other non-silicone breast forms are around $100.00.
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How often will Medicare pay for a breast prosthesis?
Medicare will cover as many mastectomy bras as determined to be medically necessary by your doctor. Medicare will cover one silicone breast form (or two for a bilateral surgery) every two years or one foam form (two for bilateral surgery) every six months.
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Will insurance pay for breast prosthesis?
It is federally mandated that insurance companies cover breast reconstruction and prosthetics. In other words, insurance cannot legally deny coverage for prosthetics, mastectomy bras, and accessories that may or may not be needed after the surgery.
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