- We understand that navigating insurance can be time-consuming, stressful, and even intimidating. Our patients leave all of that to us.
- We investigate your benefits, provide personal case management and manage all of your insurance carriers requirements for pre-certifications or predeterminations.
- We also submit all of the billing on your behalf and work directly with your insurance carrier on any appeals or changes to your coverage benefit in order to ensure that you receive the full benefits to which you are entitled.
HELPING YOU UNDERSTAND THE INSURANCE BENEFITS PROCESS:
Cancer Rights Act (WHCRA), also known as Janet’s Law, any insurance carrier that covers mastectomy is also required to cover all stages of breast reconstruction regardless of the reconstruction method a woman chooses.
It also covers the reconstruction and restoration of symmetry to both breasts even if only one breast was affected by disease. This includes both implant-based breast reconstruction and natural tissue breast reconstruction and the guidelines apply regardless of whether these procedures are performed at the time of the mastectomy or at a later date.