My surgery was 10 years ago, can I still get covered?

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.

Is there a limit on how many bras I can get?

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.

What if I’ve had reconstruction?

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.

Am I eligible for post-mastectomy bra coverage without reconstruction?

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.

What styles are included in the L8000 coded pocketed mastectomy bra?

All AnaOno styles are pocketed and are therefore eligible under the L8000 code. You can view these styles by browsing our bras collection, or viewing styles based on your surgery type.

What doctor can prescribe a L8000 code mastectomy bra for me?

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? Download our prescription form here.

Do you have any tips for asking my doctor for the prescription?

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. Diagnosis codes available on our easy to use prescription form that can be downloaded here.

How long are prescriptions valid?

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.

Does my provider matter?

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.

Am I

Covered?

We are currently covered for those with traditional Medicare coverage nationwide, or those in Arizona, California, Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, and Virginia.

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.

Eligibility Form

We are here to help you find something comfortable and make this experience as calming and supportive as we can, so you can focus on healing. Since we know a lot about lingerie, we want to be sure to stick to what we are good at. That’s why we’ve teamed up with Adapt Health to help process your coverage and claims.

Currently we are covered in Arizona, California, Florida, Georgia, Illinois, Maryland, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, and Virginia or nationally for those with traditional Medicare coverage. Not in the above states? Please fill out the form to submit your email address and your state of residence so that we can notify you when we are offering coverage to your state. Announcements will come to your inbox. We will be announcing additional states soon.

Fill out our form to check your coverage and see what is available to you. Our insurance experts will be in touch to review your benefits and confirm your order within 2-3 business days.

Fill Out The Form

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? We are able to process any HSA/FSA purchases as well as provide itemized receipts for personal submissions on reimbursement. Email Coverage@AnaOno.com with any questions or requests.. Our insurance experts will be happy to assist you.

If you are not covered by traditional Medicare and are using managed Medicare or a Medicare replacement plan, your coverage will be restricted by the covered states

What You Need to Know

The Women's Health and Cancer Rights Act of 1998 (WHCRA) provides protection to patients who choose to have mastectomy or reconstruction, and for those who choose prosthesis or forms post-surgery. From Medicare and Medicaid, to your private insurance, all insurances have programs to cover your surgical bras and post-mastectomy bras, but there could be some limitations.

1. Most insurance plans typically allow and cover between 4-6 post-surgery bras per year. This will vary by provider and medical need.

Download Prescription Sheet

2. Only pocketed bras are included in the coverage restrictions set by insurance providers. Check out our super soft pocketed mastectomy bra collection to see which styles work for you.

3. There may be out-of-pocket costs, such as co-pays, upgrade fees, and even additional costs if deductibles are not yet met for the year. Some plans may even require you to pay upfront and receive reimbursement later. Co-pays and upgrade fees are non-refundable. Bras that do not fit may ONLY be exchanged for insurance billing purposes.

4. Bras are not typically covered until after you’ve had your mastectomy surgery. We recommend waiting 4-6 weeks post-mastectomy surgery to account for any swelling or soreness that may occur immediately following your surgery. If applying before your mastectomy, insurance may decline your submission, and you would need to resubmit your file for processing.

5. If you are not eligible for coverage with your insurance company, bras can be purchased with your HSA of FSA account for 20% off retail. Complete this form, and an AnaOno customer service agent will be in touch with you to confirm your order and payment options within 2-3 business days.

6. If you are located in a state that we are not currently authorized in, you can request a receipt to submit to your private insurance company for reimbursement. This does not guarantee reimbursement, as coverage varies based on insurance companies and plans. To request your receipt, please contact us at coverage@anaono.com after you have received your order.

7. AnaOno has partnered with AdaptHealth LLC to process your insurance benefits. An AdaptHealth affiliate will appear on your EOB. Learn more by visiting adapthealth.com/mastectomy.

TOP TIPS FOR APPLYING FOR MASTECTOMY BRA INSURANCE COVERAGE

Bras ARE NOT covered until after your mastectomy surgery. We recommended waiting 4-8 weeks after your mastectomy or reconstruction surgery to apply for your AnaOno bras so the fit will be comfortable and truer to size after healing is complete and swelling has reduced.

Medicare and Medicaid may require a purchase of breast prostheses at time of your bra order, or require that breast forms are being used with a mastectomy bra to ensure coverage.

What about reconstruction? We know that not every reconstruction is perfect. Your insurance may require a purchase of a balance form in your history to ensure mastectomy bra coverage.

Don’t need a breast form? If insurance covers it and the deductible has been met, a breast form can be a useful back-up, just in case.

WHAT YOU NEED PREPARED: APPLICATION CHECKLIST

Completed prescription form (don't forget the diagnosis code). Don't have a prescription? Download one here and bring it to your doctor to complete

Your insurance information (we know it is always in your wallet). You will need to upload a photo of the front and back for verification

Ordering Physician's contact information (you've probably got 'em on speed dial!)

For further assistance please contact us at coverage@anaono.com

Check Your Coverage

: 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.
: 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.
: 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.
: All AnaOno styles are pocketed and are therefore eligible under the L8000 code. You can view these styles by browsing our 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? Download our prescription form here.
: 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. Diagnosis codes available on our easy to use prescription form that can be downloaded here.
: 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.

Check Your Coverage

Please note, AnaOno LLC will not process any claims on your behalf. We are here to answer any fit questions you may have. Please contact us at coverage@anaono.com, or call 866-879-1744 and ask for one of our insurance and fit experts.

This program is powered by Adapt Health and their subsidiaries.

Covered?

Eligibility Form

What You Need to Know

TOP TIPS FOR APPLYING FOR MASTECTOMY BRA INSURANCE COVERAGE

WHAT YOU NEED PREPARED: APPLICATION CHECKLIST

FAQ: Insurance Coverage