Many people who’ve had a single or double mastectomy, with or without reconstruction, don’t know that insurance may cover your purchase of post-surgery bras and mastectomy bras, breast prostheses and breast forms. With a qualifying prescription from your doctor, you may be eligible. Visit our Store Locator to find a Mastectomy Boutique near you.
Insurance companies are required to cover your L8000 mastectomy bra AFTER your surgery; however, each insurance provider has different requirements to complete your reimbursement. It is always best to call your personal provider to understand your coverage and any out-of-pocket costs. Don't have coverage in your area? Some providers will accept itemized receipts for claim submissions and often reimburse some coverage for your L8000 mastectomy bra purchase.
To submit an itemized receipt to your insurance provider, simply send them a copy of your order confirmation email. Your order confirmation email now provides all of the necessary information that is needed for your insurance provider, such as our tax id number, address and L8000 printed on the confirmation. If you need your email confirmation resent or if you run into any problems or have any questions please reach out to our insurance experts at email@example.com.
Claim receipts are not guaranteed for reimbursement as some insurance companies will reject them.
Restrictions are not based on WHEN your mastectomy was, but by use and need of a mastectomy bra. All you need is a prescription from your doctor for an L8000 Mastectomy Bra and Breast Form if desired.
Generally, most insurance companies allow 4-6 bras per year. You can ask the person in charge of running your claim about the exact number allowed by your insurer. Insurance orders are only able to be placed for the number of bras listed on your prescription. Most insurances cover about 6 bras, however, if your prescription does not list a number, it will default to 1 bra. If you would like to order more bras than what is listed on your prescription, an updated prescription will be required.
Reconstruction is not always perfect, and a balance form or other breast prosthesis may be needed. It is important to get your prescription from your surgeon or plastic surgeon for a L8000 coded pocketed mastectomy bra and apply to check your coverage.
Yes, you are. Your doctor or surgeon can write a prescription for a L8000 pocketed mastectomy bra and you can apply to check your coverage.
Many AnaOno styles are pocketed bras that adhere to L8000 code. You can view these styles by browsing our pocketed bras collection, or viewing styles based on your surgery type.
Any doctor within your course of treatment can prescribe your breast forms and mastectomy bras, but we suggest your breast surgeon or plastic surgeon as they are accustomed to writing these prescriptions. Scheduling your doctor’s visit? Find mastectomy boutiques in your area that carry AnaOno by visiting our Store Locator page.
Be sure your diagnosis code is written on the prescription as well as the amount of mastectomy bras deemed medically necessary. We recommend asking for a minimum of four bras, that way you don’t have to go back right away for another prescription.
Insurance orders are only able to be placed for the number of bras listed on your prescription.
Once passed to the provider for processing, prescriptions are valid for up to 90 days. That means, you don’t have to make a full commitment on your first order. You can request one bra, check the size, fit, and style, and then order additional bras without needing a new prescription.
It depends. Medicare & Medicaid may require an upgrade fee to process AnaOno bras through the insurance, and this depends on if they are your primary or secondary insurance.