Is Everviolet covered?
It is federally mandated that insurance companies cover breast reconstruction and prosthetics following both single and bilateral mastectomies. This coverage is outlined in the Women’s Health and Cancer Rights Act of 1998.
Because of this act, your health insurance plan may cover the complete or partial purchase of special post-operative undergarments including front closure bras, pocketed bras, post-surgical camisoles with internal drain pockets, breast prostheses and forms, and garments with varying degrees of compression.
Your health insurance plan may cover the purchase of special post-operative undergarments including: front closure bras, pocketed bras, post-surgical camisoles with internal drain pockets, breast prostheses and breast forms, and various degrees of garments with compression and support to support you along your healing journey.
Standard insurance policies typically cover between four and six post-surgical bras annually, and you will need to obtain a prescription from your oncologist or surgeon to qualify for coverage.
We recommend contacting your healthcare provider to better understand your specific coverage allowances and out-out-pocket fees.
How many bras will be covered?
We recommend contacting the Customer Service phone number on the back of your insurance card to inquire about the specific quantities of bras and prosthetics allowed under your plan.
Medicare, Medicaid, and most commercial insurance plans cover silicone prosthesis every two years, foam prosthesis every six months, and two to four mastectomy bras per year, either fully or partially. Keep in mind that you are always responsible for any co-pays and deductibles. We recommend keeping records of any bills or charges so you can refer to them when communicating with your health insurance company.
Are mastectomy bras FSA/HSA eligible?
Mastectomy-related bras are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Mastectomy-related bras are not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
How long post-surgery am I eligible for bra coverage?
We recommend contacting your insurance company directly to understand the length of your coverage. Depending upon your surgery type(s), you maybe eligible for post-surgical bras years after surgery.
Are compression garments covered?
Some insurance plans will cover compression garments that help prevent lymphedema after surgery. Lymphedema, the accumulation of lymph fluid that causes swelling, affects between three and five million Americans. Medicaid requires coverage for certain compression tights or sleeves that help with swelling, but Medicare does not.
Learn more about the Women's Health and Cancer Rights Act (WHCRA)?
The Women's Health and Cancer Rights Act of 1998 (WHCRA) is a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy.
If you have any other questions regarding fit or insurance coverage, please reach out to our customer care team at firstname.lastname@example.org.
At this time, Everviolet does not process insurance claims.