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Medicare will pay for the prefabricated off-the-shelf silicone forms and the pocketed Bras which is required to wear them. Medicare pays for a custom fabricated prosthetic for all body parts, except a woman's breast.
Medicare does not consider it medically necessary for a woman to have an individualized custom prosthetic replacement for their lost breast. Medicare, however does pay for penis pumps for men, apparently considering an erection a medical necessity.
There are currently bills in Congress that would require Medicare to offer women this option so hopefully with enough support via letters to Senators and Congressional Representatives, women will soon have the same choices as everyone else.
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∙ 13y ago
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Mammary prosthesis would be used for what type of procedure?
Breast reconstruction
Where can a breast prosthesis be bought?
There are many places one might go to locate a breast prosthesis. The most reputable location would be through one's local hospital facility, where one can be properly fitted.
Which president signed medicare bill?
Lyndon Johnson signed the first Medicare bill.
Is it illegal for a provider to bill a Medicare patient for a bill when Medicare has not paid their share?
Yes
Will medicare pay to remove old silicone implants?
will medicare pay for old silicone breast implant removed
As part of the Medicare Patient Bill of Rights Medicare patients have the right to be treated fairly with courtesy and?
As part of the Medicare Patient Bill of Rights, Medicare patients have the right to be treated fairly with courtesy and ________________________
If you switch from HMO back to Medicare can the skilled nursing facility that the patient is at bill Medicare for skilled needs?
If they are under skilled HMO yes you can bill Medicare. You still have to follow the assessments needed by Medicare
What is prosthesis in relation to cancer and cancer treatment?
A prosthesis is an artificial body part. If part of the body has been surgically removed to remove a cancer, that part may be replaced by an artificial part. A common example is a breast prosthesis for a woman who has had a mastectomy. A person who has had a leg amputated for a sarcoma would, of course, use a prosthetic leg.
How does the company deal with patients who also have medicaid and medicare?
Medicaid is the payor of last resort. Therefore, bill Medicare first. Bill Medicaid for any expenses Medicare didn't cover.
Will Medicare cover removal of old silicone breast implants?
Medicare will only pay for removal of ruptured breast implants if a doctor determines it medically necessary due to health complications brought on because of the rupture or in some rare cases for psycological stress suffered as a result of the rupture.
Does Medicare cover counseling services by an LCSW. How does an LCSW bill Medicare and how much does Medicare reinburse ?
Yes, under most circumstances it will. Medicare has a set amount for these types of services, no matter what they charge. Medicare allows the provider to bill a certain discounted amount to the patient or insurance company. www.texasbestmedicare.com
Is it prosthesis or prostheses?
Prostheses is the plural of prosthesis
