Many women who have had breast surgery are not aware that their insurance may cover the purchase of bras and breast prosthesis, also known as breast forms.  Most medical insurance policies base their coverage on Medicare standards which usually cover these products for breast operated women. However, the amount is dependent on the region as defined by Medicare.  

If you are thinking “I don’t want a medical looking bra” or I don’t want a hot and sticky breast form”, there’s no need to worry.  You can find many of your favorite bra styles, including lacy, feminine, everyday, comfortable, and active sports bras, as well as the latest breast forms that equalize your body temperature or provide a lightweight feeling.

Effective April 1, 2002 Medicare guidelines deemed the useful lifetime expectancy of a silicone breast form is two (2) years, and a non-silicone form has an expected lifetime of six (6) months. However, a breast form can be replaced at any time if it is lost, irreparably damaged (this does not include ordinary wear and tear), or if there is a change in the patient’s medical condition necessitating a different type of item. If the patient’s medical condition changes, it must be documented by the patient’s physician submitting a new prescription which explains the need for a different type of breast form.

You are invited to look at the new and stylish breast care products that are available today. The first step is to call a Wright & Filippis near you. They will help you determine what’s covered by your health insurance and what’s not. Wright & Filippis makes it a priority to find the right products for you.  

Breast Cancer Wellness magazine, Winter 2008