According to the Women's Health and Cancer Act of 1998, Insurance companies are required to provide benefits to post breast surgery patients. Benefits are provided to women who have had a mastectomy, reconstruction, lumpectomy, or surgery to achieve symmetry between the breasts. Benefits provided are subject to deductibles, co-insurance applicable to your policy.
Magnolias Post-Mastectomy Boutique accepts Medicare, as well as most private insurances. In addition we are a Preferred Provider for the Patoka Valley Health Care Cooperative.
Medicare provides one silicone breast prosthesis per surgery side every two years, four to six mastectomy bras per year, two post surgery camisoles the first year after surgery, and up to two foam leisure forms every year. Medicare does not cover swimwear.
Most private insurance companies allow one silicone breast prosthesis per surgery side per year, and mastectomy bras every year.
At the present time, Medicare and most insurance companies do not cover the cost of your wigs, except in special cases; however, some insurance carriers have started looking into providing this coverage.
We will be happy to contact your insurance company for you to determine what is covered under your individual plan.
If you would like Magnolias to bill your insurance company, the following documentation would be required:
Perscription from your physician with:- Diagnosis code
- Doctor's NPI number
- Number of Silicone Breast Prostheses
- Number of Mastectomy Bras
- Statement that products are medically necessary
- Patient name
- Address
- Phone number
- Birth date
- Employer
- ID number
Every time you come to Magnolias, please bring your insurance cards and a doctor’s PRESCRIPTION. Prescriptions can be faxed directly to our business office at 317-831-3221.
Please be prepared to cover any upgrades, co-payments, or insurance deductibles that may apply to your individual contract.