Mastectomy Coverage Update
For Rhode Island members
At the direction of the Rhode Island Office of the Health Insurance Commissioner, the following services will be covered without cost-share1 for fully insured Rhode Island members, effective January 1, 2019:
- Reconstruction of the breast on which the mastectomy was performed;
- Surgery and reconstruction of the other breast to produce a symmetrical appearance;
- Prosthesis and treatment of physical complications at all stages of mastectomy as determined by the member's treating physician, physician assistant or nurse practitioner.