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LaDonna28 10-27-2014 01:02 PM

Appointments for expanders and insurance
 
Does anyone know if the appts. to get the expanders filled are considered appts at the dr. office which requires co-pays?
And how often do you have to go?
Has anyone had a lumpectomy only and then decided after the fact to have a mastectomy?
Did the insurance cover this without any issues?

I am still weighing all my options for surgery still. I have 2 more TCHP treatments to go. The 4th treatment kicked my butt and am still dealing with nerve pain and facial twitches almost 3 weeks out.....
Thanks for any info or feedback!

Nurse4u2day 10-27-2014 04:25 PM

Re: Appointments for expanders and insurance
 
The fills vary per doctor. As for insurance my policy is that if for the fills I see my actual Doctor then I still have to pay the co pay for each visit. As for lumpectomy if you have that first and later you and your doctor decide base on pathology report that a mastectomy is preferable then yes your insurance should cover that as well. Insurance can be weird, when I called my insurance I told them I had cancer in left breast only but wanted to know if they would cover a bilateral mastectomy there response was NO we don't do phropyhalactic ( pay) my surgeon said that was nonsense! He did the Bmx and they covered it 100%. I don't know what insurance code he used but they paid.

jaykay 10-28-2014 12:23 PM

Re: Appointments for expanders and insurance
 
Regarding the fills - in my case, they were part of the first part of the reconstruction cost and I don't recall paying any co-pays for visits to the plastic surgeon to get them filled. Part 1 being the expanders after the bmx. Part 2 was separate and the actual exchange surgery a year later (expanders for implants)


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