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:

• Mastectomy;
• 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.

1. SAVER members will be covered in full only after the deductible has been met.