The American Society of Plastic Surgeons is leading a bill to expand breast reconstruction access and options.
Laws requiring insurance companies to cover Breast Reconstruction after breast cancer treatment are more than 25-years-old. While the science of breast reconstruction has advanced, and today’s options are more expansive, the laws guaranteeing coverage are outdated.
ASPS and Breast Reconstruction Legislation
American Society of Plastic Surgeons (ASPS) members were instrumental in passing legislation that required insurance coverage for Breast Reconstruction. Prior to this, breast reconstruction was usually denied by insurance companies as “cosmetic” and unnecessary.
ASPS Members testified in front of congress impressing the physical and emotional benefits of breast reconstruction after breast cancer, at that time often done without reimbursement. A second round of testimonies was needed to also include nipple reconstruction and matching procedures for the opposite breast, as these were often denied by insurance.
The Benefits of Breast Reconstruction
Breast Reconstruction benefits patients physically and emotionally. The physical benefits are obvious. The ability to fit comfortably in clothing is taken for granted, until after a mastectomy. While external padding can work for some patients, these can be hot and sweaty against the skin, and do not permit the showing of cleavage.
The emotional boost after Breast Reconstruction is undeniable. It provides women with a sense of control and the ability to take back their body. While some patients are very happy without reconstruction, the majority deserve to have this option to help them get past cancer and on with their lives.
Advancement in Breast Reconstruction
Over the last 25 years, the laws have not kept up with science. Medical advancements are not always covered, and patients are losing access to excellent choices. Even when access is available, insurance companies often unnecessarily prolong the process with denials and delays designed to demoralize.
Even with advancements, recognized complications occur. Some due to cancer, some due to the treatments and some due to reconstruction. These should all be covered.
What Can You Do?
The ASPS works at local, state and federal levels with government and private insurers to protect your rights as a breast cancer survivor. Patients, doctors, health care providers, and advocacy groups are working together.
According to the ASPS posting, you can help by taking the following actions:
- Share your story – help show lawmakers why the Women’s Health Coverage Act (WHCA) needs to be modernized.
- Learn about state-specific coverage laws and how they impact access to care.
- Endorse the legislation – if you or your organization would like to formally endorse the Advancing Women’s Health Coverage Act, please email the ASPS directly at: advocacy@plasticsurgery.org
Plastic Surgery Consultations
Dr. Joseph Mele is a double Board Certified Plastic Surgeon in the San Francisco Bay Area specializing in Cosmetic Plastic Surgery. Call (925) 943-6353 to schedule a private consultation appointment.
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