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Great question, and an important one! Under a federal law called the Women's Health and Cancer Rights Act of 1998 (WHCRA), any insurance plan that covers mastectomy surgery is also required to cover breast reconstruction surgery.

While the search results specifically mention Medicare and general insurance plans, Medicaid Show Full Answer

Great question, and an important one! Under a federal law called the Women's Health and Cancer Rights Act of 1998 (WHCRA), any insurance plan that covers mastectomy surgery is also required to cover breast reconstruction surgery.

While the search results specifically mention Medicare and general insurance plans, Medicaid coverage can vary by state, so it's worth checking directly with your Medicaid plan to understand exactly what's covered. Here are some helpful steps to take:

- Contact your Medicaid plan directly to ask about breast reconstruction coverage in your state
- Ask about out-of-pocket costs like copays or deductibles that may still apply
- Check if a second opinion is required before coverage is approved
- Ask your oncology team — they often have financial navigators or social workers who can help sort through coverage questions

If extra financial help is needed, there are breast cancer support organizations that offer grants to help cover reconstruction costs. A quick online search can help find those resources.

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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