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Medicare May Cover Double Mastectomy After Cancer at 68

Original: She Lost One Breast to Cancer at 68. Medicare Could Cover Surgery on Both and Pay 80% of Her Surgeon’s Approved Bill.

A 68-year-old woman who lost one breast to cancer could have surgery on both breasts covered by Medicare, which would pay 80% of the surgeon's approved bill under standard Part B cost-sharing rules. The case highlights how Medicare's coverage works for reconstructive or preventive procedures after a cancer diagnosis, and what patients can expect to pay out of pocket.

Why now: People nearing or on Medicare are keenly interested in what breast surgery and reconstructive care the program actually covers after cancer.

Medicare

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