Breast Reconstructive Surgery – Insurance & Payment

Federal law requires insurance companies that cover mastectomy to also pay for the cost of reconstruction, including surgery to the opposite breast if needed to attain symmetry.

The benefits paid by insurance companies for plastic surgery vary greatly from carrier to carrier and plan to plan. Therefore, we make every effort to determine in advance if insurance coverage exists. We determine the projected insurance payment and your out-of-pocket surgical expenses. We do this because we believe you need to be as informed as possible before surgery. We know you realize that you are ultimately responsible for the full payment of your account, but we have found that our knowledge and experience can be an important factor in assisting you to collect your maximum benefits.

Our experienced office staff can help provide appropriate documentation and information to secure approval from your insurance company, for pre-authorization or an appeal if your initial request has been denied. Please contact our office to discuss all arrangements regarding payment of your account with us.

We recommend that you call your insurance company to inquire about your benefits so you can fully understand what your out-of-pocket cost may be.

Payment options

Your insurance co-payment or payment in full (should your insurance company deny your request) for reconstructive surgery is due at the time of your preoperative visit. We accept a number of single or combined payment options, including cash, personal check, cashier check, and Visa, MasterCard or American Express. Should you need to finance your surgery, we will happy to assist you.