Does Insurance Cover Breast Reduction After Lumpectomy

Does insurance cover breast reduction after lumpectomy

Opting for an oncoplastic breast reduction after a lumpectomy, or a reconstructive procedure to reshape the breast after deforming lumpectomy using breast reduction techniques, is a deeply personal decision driven by the desire to restore balance, comfort, and confidence, three things that can feel worlds away after a cancer diagnosis. Getting an oncoplastic breast reduction after lumpectomy can alleviate both the physical and psychological effects of surgery, like asymmetry and discomfort, and can enhance the overall quality of life. Breast reduction surgery can be a vital component of post-cancer care for many women, but does insurance cover oncoplastic breast reduction after lumpectomy? Let’s dig deeper.

Does Insurance Cover Oncoplastic Breast Reduction After Lumpectomy?

Coverage is similar across all carriers because insurance companies in New York must follow certain laws for breast cancer-related procedures. Because the lumpectomy is medically necessary due to a cancer diagnosis, the corresponding reduction is classified more like a breast reconstruction surgery for insurance purposes.

The Women’s Health and Cancer Rights Act of 1998

Must provide coverage for:

  • All stages of breast reconstruction/reduction on the breast which had the lumpectomy.

  • Surgery and reconstruction/reduction of the other breast for a symmetrical appearance.

  • Treatment of any corresponding physical complications.

New York Insurance Law § 3216

Must provide coverage for: 

  • All stages of reconstruction/reduction for the breast on which the mastectomy or partial mastectomy was performed.

  • Surgery and reconstruction/reduction of the other breast to create a symmetrical appearance.

In short, insurance companies are required to cover oncoplastic breast reduction after a lumpectomy, whether it’s an immediate oncoplastic reduction or if you develop asymmetry or complications down the road.

Even though the Women’s Health and Cancer Rights Act of 1998 requires insurance coverage for breast cancer-related procedures—many offices fail to provide comprehensive assistance in helping you get those benefits. That’s where we come in. Joanne Parrinello has years of experience deciphering the intricacies of health insurance and is here to help you maximize your benefits and get the coverage you’re entitled to.

Insurance Liaison — Services To Make Your Life Easier

Most reconstructive surgeons are happy to provide the essential paperwork and pre-certifications for your insurance provider, but many don’t get any more involved in the process than that. At Harris Plastic Surgery, we offer an experienced insurance liaison who can help you navigate the complexities of your specific policy.

Having a dedicated Insurance Liaison can help you navigate:

 

In short, insurance companies are required to cover oncoplastic breast reduction after a lumpectomy, whether it’s an immediate oncoplastic reduction or if you develop asymmetry or complications down the road. Even though the Women’s Health and Cancer Rights Act of 1998 requires insurance coverage for breast cancer-related procedures—many offices fail to provide comprehensive assistance in helping you get those benefits. That’s where we come in. Joanne Parrinello has years of experience deciphering the intricacies of health insurance and is here to help you maximize your benefits and get the coverage you’re entitled to. Insurance Liaison — Services To Make Your Life Easier Most reconstructive surgeons are happy to provide the essential paperwork and pre-certifications for your insurance provider, but many don’t get any more involved in the process than that. At Harris Plastic Surgery, we offer an experienced insurance liaison who can help you navigate the complexities of your specific policy. Having a dedicated Insurance Liaison can help you navigate:Policy Details

 

In short, insurance companies are required to cover oncoplastic breast reduction after a lumpectomy, whether it’s an immediate oncoplastic reduction or if you develop asymmetry or complications down the road. Even though the Women’s Health and Cancer Rights Act of 1998 requires insurance coverage for breast cancer-related procedures—many offices fail to provide comprehensive assistance in helping you get those benefits. That’s where we come in. Joanne Parrinello has years of experience deciphering the intricacies of health insurance and is here to help you maximize your benefits and get the coverage you’re entitled to. Insurance Liaison — Services To Make Your Life Easier Most reconstructive surgeons are happy to provide the essential paperwork and pre-certifications for your insurance provider, but many don’t get any more involved in the process than that. At Harris Plastic Surgery, we offer an experienced insurance liaison who can help you navigate the complexities of your specific policy. Having a dedicated Insurance Liaison can help you navigate:Necessary Documentation

 

In short, insurance companies are required to cover oncoplastic breast reduction after a lumpectomy, whether it’s an immediate oncoplastic reduction or if you develop asymmetry or complications down the road. Even though the Women’s Health and Cancer Rights Act of 1998 requires insurance coverage for breast cancer-related procedures—many offices fail to provide comprehensive assistance in helping you get those benefits. That’s where we come in. Joanne Parrinello has years of experience deciphering the intricacies of health insurance and is here to help you maximize your benefits and get the coverage you’re entitled to. Insurance Liaison — Services To Make Your Life Easier Most reconstructive surgeons are happy to provide the essential paperwork and pre-certifications for your insurance provider, but many don’t get any more involved in the process than that. At Harris Plastic Surgery, we offer an experienced insurance liaison who can help you navigate the complexities of your specific policy. Having a dedicated Insurance Liaison can help you navigate:State and Federal Laws

 

In short, insurance companies are required to cover oncoplastic breast reduction after a lumpectomy, whether it’s an immediate oncoplastic reduction or if you develop asymmetry or complications down the road. Even though the Women’s Health and Cancer Rights Act of 1998 requires insurance coverage for breast cancer-related procedures—many offices fail to provide comprehensive assistance in helping you get those benefits. That’s where we come in. Joanne Parrinello has years of experience deciphering the intricacies of health insurance and is here to help you maximize your benefits and get the coverage you’re entitled to. Insurance Liaison — Services To Make Your Life Easier Most reconstructive surgeons are happy to provide the essential paperwork and pre-certifications for your insurance provider, but many don’t get any more involved in the process than that. At Harris Plastic Surgery, we offer an experienced insurance liaison who can help you navigate the complexities of your specific policy. Having a dedicated Insurance Liaison can help you navigate:Appeals Process

 

In short, insurance companies are required to cover oncoplastic breast reduction after a lumpectomy, whether it’s an immediate oncoplastic reduction or if you develop asymmetry or complications down the road. Even though the Women’s Health and Cancer Rights Act of 1998 requires insurance coverage for breast cancer-related procedures—many offices fail to provide comprehensive assistance in helping you get those benefits. That’s where we come in. Joanne Parrinello has years of experience deciphering the intricacies of health insurance and is here to help you maximize your benefits and get the coverage you’re entitled to. Insurance Liaison — Services To Make Your Life Easier Most reconstructive surgeons are happy to provide the essential paperwork and pre-certifications for your insurance provider, but many don’t get any more involved in the process than that. At Harris Plastic Surgery, we offer an experienced insurance liaison who can help you navigate the complexities of your specific policy. Having a dedicated Insurance Liaison can help you navigate:Pre-Authorizations

 

In short, insurance companies are required to cover oncoplastic breast reduction after a lumpectomy, whether it’s an immediate oncoplastic reduction or if you develop asymmetry or complications down the road. Even though the Women’s Health and Cancer Rights Act of 1998 requires insurance coverage for breast cancer-related procedures—many offices fail to provide comprehensive assistance in helping you get those benefits. That’s where we come in. Joanne Parrinello has years of experience deciphering the intricacies of health insurance and is here to help you maximize your benefits and get the coverage you’re entitled to. Insurance Liaison — Services To Make Your Life Easier Most reconstructive surgeons are happy to provide the essential paperwork and pre-certifications for your insurance provider, but many don’t get any more involved in the process than that. At Harris Plastic Surgery, we offer an experienced insurance liaison who can help you navigate the complexities of your specific policy. Having a dedicated Insurance Liaison can help you navigate:Financial Assistance

When you’re dealing with something as emotionally burdensome and serious as lumpectomy and breast reduction surgery, you almost certainly don’t want the added hassle of lists, phone calls, and forms. Finding a plastic surgeon who offers insurance liaison services can make life much easier for you.

Experience True Patient Care at Harris Plastic Surgery

Having a plastic surgeon as part of your breast cancer surgery team right from the beginning can help you achieve the best results for both your health and your aesthetic outcomes post-surgery.

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Individualized Consultation

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Personalized
Planning

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Seamless Collaboration

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At Harris Plastic Surgery, we begin with a personalized consultation. We work with you to develop the best treatment plan and coordinate with your breast surgeon to ensure a seamless surgery experience.

Harris Plastic Surgery for Your Oncoplastic Breast Reduction After Lumpectomy

Oncoplastic breast reduction is covered by insurance after a lumpectomy. Count on the dedicated insurance liaisons at Harris Plastic Surgery to help you get the most coverage from your policy.

Harris Plastic Surgery - Your Breast Reduction Experts

Contact us online or by phone/text if you have questions or are ready to schedule your consultation today.

Joanne Parrinello, Practice Manager

Joanne Parrinello is an expert patient care coordinator, with two decades of experience navigating the complex financial side of medically necessary breast reduction and reconstruction surgery. She acts as a guide to patients, helping them understand their options and their expected out-of-pocket expense. The insurance industry can be complex and filled with jargon that makes you feel like you need a translator. At Harris Plastic Surgery, Joanne is that translator.