Young Survivor Denied Coverage for Reconstruction

Posted By on August 16th, 2012 at 9:57 am | 25 comments.

The PBCC counts among its many legislative victories the Breast Cancer Reconstructive Surgery Coverage Act – which mandates that insurers cover the cost of reconstructive surgery for breast cancer survivors. So when the PBCC learned from WGAL that Courtney Morrison’s insurer was not going to cover a second reconstruction to correct a problem after her first, we knew we had to get to the bottom of the issue. Click here for the WGAL story.

The Breast Cancer Reconstructive Surgery Coverage Act, passed in 1997, requires insurers to cover the cost of reconstructive surgery after mastectomy and symmetry of the breasts within six years. However, Courtney’s employer is self-insured, and under the current legislation, self-insured employers are exempt from the requirement to cover the surgery. We hope that, with our help, Courtney’s situation will be resolved and she will be able to get coverage for the surgery.

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