ALERT! See "Coverage of transgender health services" for coverage of breast reconstruction or mastectomy related to transgender services.

This benefit covers mastectomy as treatment for disease, illness, or injury, as well as:

  • Reconstruction of the breast on which the mastectomy was performed.
  • Surgery and reconstruction of the other breast to produce a symmetrical appearance.
  • Prostheses.
  • Physical complications of all stages of mastectomy.
Please note that you must use a covered provider type for services to be covered.