Navigating insurance benefits and treatment approvals can feel overwhelming, especially when planning surgery. Our team is committed to helping patients understand their coverage, coordinate with insurance carriers, and obtain any necessary authorizations related to reconstructive procedures. We will walk you through the process step-by-step.
Insurance Authorizations
We accept most commercial PPO insurance plans and work closely with patients to verify benefits and coverage prior to treatment. Depending on your individual plan, certain procedures may require pre-authorization or additional documentation before services can be approved. Our staff will assist throughout the process by reviewing your insurance information, communicating with your carrier when needed, and helping you understand your available coverage options so you can move forward with confidence.
Mastectomy-Related Reconstructive Procedures
Federal and state laws provide important protections for patients seeking breast reconstruction following a mastectomy. Health insurance plans are generally required to cover all stages of breast reconstruction related to breast cancer treatment, including procedures performed to restore breast symmetry when appropriate and revision of previous breast reconstruction. Our team works directly with insurance providers to help secure approvals for eligible reconstructive procedures and ensure patients receive the benefits available under their health plan.
No Surprises Act & Patient Billing Protections
The No Surprises Act (NSA) was created to protect patients from unexpected medical bills in certain healthcare situations. These federal protections help limit surprise charges for covered services and provide greater transparency regarding healthcare costs. We encourage all patients to review their rights and protections under the No Surprises Act.
If you have questions about your insurance coverage, estimated costs, or billing responsibilities, our team is available to help explain your options and answer any questions before treatment. If you have any additional questions or require further information, please do not hesitate to contact our office. Our team would be happy to assist you and answer any questions you may have.
