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Urge Congress to Support a Medicare Fix for Custom Breast Prosthesis

Women deserve to have all options available to help with the recovery process following mastectomy.  Options include reconstructive surgery, to go flat, off-the-shelf prosthesis or custom breast prosthesis.  Breast Cancer Patient Equity Act will allow custom breast prosthesis as an eligible benefit under Medicare.  Many third-party payers follow Medicare guidelines. Members of Congress need to hear from constituents to know this issue is important in their district.

Senators Tammy Duckworth (D-IL) and Lisa Murkowski (R-AK) and Representatives Judy Chu (D-CA) and Jackie Walorski (R-IN) have introduced S. 2051/H.R. 3087, the Breast Cancer Patient Equity Act, to provide a Medicare fix for custom breast prostheses to women who have undergone a mastectomy. The billing code and fee schedule have been in place for custom breast prosthesis since 1999.

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