Insurance Information

Did you know that in Illinois Medicare will reimburse your purchase of up to six new post-surgical bras per year and one new breast prosthesis every other year? And you don't need to be recently diagnosed. Survivors using these products are also covered. Standard Medicare reimbursement is 80% of your out-of-pocket cost up to approved limits based on the current CMS Fee Schedule. And in some cases your supplemental insurance carrier will cover the balance.

If you are not a Medicare recipient but have a private insurance carrier, your out-of-pocket costs for these bras and prostheses may also be covered. This coverage varies based on your carrier and your plan.

At the present time Medicare and most insurance companies do not cover the cost of your wigs, except in special cases. However, some insurance carriers have started providing this coverage so be sure to check with yours.

Second Act is an approved Medicare provider with full billing privileges. We are also an in-network provider with Blue Cross Blue Shield of IL, UniCare and Aetna/Cofinity, and we have applications pending with other private insurance carriers.

What do you need to do to take advantage of your coverage?

Whether using Medicare or private insurance when purchasing covered items, you must bring a prescription from your physician in order to receive insurance reimbursement. The information required on that prescription is very specific. Here is a sample for you to provide to your physician.

» Download Post-Surgery Products Prescription Form

Remember, even though your physician has provided a prescription for your purchases, this does not guarantee your insurance carrier will reimburse you. It is important that you check with Medicare and/or your private insurance carrier for details of your plan before coming to Second Act.