Insurance payment for prophlactic mastx, restoration?

foobs
foobs Member Posts: 110
edited June 2014 in ILC (Invasive Lobular Carcinoma)

I'm 5 cm (T3) Invasive lobular, hormone receptive, strong family history.  I'm having a lumpectomy with lymph node dissection next week.  Then  chemo and finally a bilateral mastx and DIEP restoration.  Does anyone have a similar situation and can you tell me your experience with insurance payment for removing and restoring the breast without cancer?

 Also how long (in weeks, or months) you had chemo?

· Share on FacebookShare on Twitter

Comments

  • Lynn12
    Lynn12 Member Posts: 1,008
    edited April 2009

    Hi,

    I had a rb mastectomy with my original cancer diagnosis, then almost exactly one year later had a lb proph and bilateral DIEP.  There was never a question from my insurance company, they paid for everything, including the phase 2 and 3 surgeries.

    I had chemo for 18 weeks...6 treatments of TC, 3 weeks apart. I also had to have 30 radiation treatments after my chemo.  My plastic surgeon had me wait 5 months after radiation to do the DIEP.  It's been over a year since the DIEP and over 2 years since diagnosis..all is well!

    Best of luck!

    Lynn

    · Share on FacebookShare on Twitter
  • dlb823
    dlb823 Member Posts: 9,430
    edited April 2009

    Hi, foobs ~  Just found this post (after answering your more recent one), so thought I'd bump it for you.  FYI I've noticed that Friday night is one of the worst times to post and have your question get buried because the boards aren't as active then.

    Re. chemo, I had 4 txs of TC 3 weeks apart.  Depending on your hormone & Her2 stats and if its right for you, TC (Taxotere & Cytoxin) is the newest regimen for bc.  Not all oncs are using it, but research shows that it's extremely effective and doesn't pose the risk of heart-related SE's that Adriamycin can. 

    As far as insurance covering prophylactic bi-lat mast., I didn't have that, but I don't believe I've seen anyone here say it was denied by their insurance company.   But hopefully, you'll get some additional input now.   Take care ~  Deanna

    · Share on FacebookShare on Twitter
  • spar2
    spar2 Member Posts: 6,827
    edited April 2009

    My insurance covered mastectomy, then a reduction on left side and reconstruction on right side.

    · Share on FacebookShare on Twitter
  • foobs
    foobs Member Posts: 110
    edited April 2009

    spar2,

    So sorry to not answer you right away.  Thanks for your input.  It helps.  I, too have not seen much discussion about insurance not paying,  We're all so worried about everything else probably.  I hope you're happy with the outcome of your surgery.   

    · Share on FacebookShare on Twitter
  • foobs
    foobs Member Posts: 110
    edited April 2009

    Deanna,

     Here I am on Fri night posting again. ha  And only just now found your post.  sorry!

    I had lumpectomy last Friday and my tumor was not 5 cm that it measured on MRI,, but 3 cm!  We think its responded to my being off HRT..  But unfortunately I had 8 of 12 nodes positive.  I don't know if  TC would be appropriate for me because of this.  But  thanks, I'll look at it.   Met with Oncologist today and he suggests aggressive chemo because of LN.  I have a few weeks to research/decide..  What kind of cancer do you have? 

    · Share on FacebookShare on Twitter

Categories