Has anyone had Medicare pay for prophylactic mastectomy

Posted by sandyjr @sandyjr, Nov 6, 2019

I have had bilateral breast cancer and I have the CHEK2 mutation. I have had lumpectomies in both breasts and just found out about the mutation. According to the stuff I can find on the computer, Medicare will not pay for a prophylactic bilateral mastectomy. I do not currently have BC, but after finding out about the mutation, I just do not want to deal with it again. Has anyone had this experience?

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trixie1313 | @trixie1313 | Nov 6, 2019

@sandyjr With my second surgery (2nd tumor on same side found on MRI), a partial mastectomy was done taking me down from a DD+ to about an A. The surgeon also did the right side so I would match up. I believe it is federal aw for women with breast cancer that this is covered. https://www.cancer.org/treatment/finding-and-paying-for-treatment/understanding-health-insurance/health-insurance-laws/womens-health-and-cancer-rights-act.html