Understanding Insurance & Breast Reconstruction

Coverage can depend on many details

Insurance participation and coverage can vary by plan, provider, facility, timing, prior authorization and individual circumstances. This guide does not promise coverage and is not legal, billing or medical advice.

Questions to ask before scheduling

• Ask your health plan whether the surgeon is in network for your specific plan.
• Confirm whether the hospital, surgery center, anesthesia team and other services are billed separately.
• Ask whether prior authorization, referral steps or documentation are needed before care.
• Confirm details with both the insurer and the provider's office, because directory and plan information can change.
• Write down call dates, names, reference numbers and any next steps you were given.

Use directory filters as a starting point

Recon OncoPlasty Directory can help you filter by available insurance information, but provider and plan participation should be confirmed directly before making care decisions.