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.
We are always 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 SunMED Medical Solutions to help you process your coverage and claims.
Fill out the eligibility form below to check your coverage to see what is available to you. A certified mastectomy fitter will be in touch to review your benefits.
We know you may have some questions about the process to get your AnaOno bras covered. Here’s what you need to know and tips to help you get started.
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. With that in mind, beautiful and supportive mastectomy and post-surgery bras and forms may be eligible to be covered by insurance. 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.
Have any questions? Please contact us at firstname.lastname@example.org or give us a call at 866-879-1744 and ask for Lauren, our Insurance Expert! We are always here to help you!
Check out our answers to frequently asked questions below for some extra help and guidance.
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 pocketed bra styles are eligible for coverage under the L8000 code. You can find these styles by searching for bras with “pocketed” in the name. Or, you can browse our collection of pocketed styles. Please note that other non-pocketed styles are not included in this code.
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.
How long does it take to process my claim?
Our DME partner processes your intake form in 4-5 business days. They will contact you by your preferred method: phone, email or text. But if they do not hear from you after you submit your intake form, they may close your inquiry. So be sure to get back to them! Contact SunMED directly at 856-552-6955 if you have filled out a claim but have not received a message back. (And don’t forget, we are always here for you too!)
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. SunMED will walk you through all the details that your insurance carrier needs, so you are not in the dark on anything.