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Breast Reconstruction

Under the Women's Health and Cancer Rights Act of 1998, health plans are required to cover breast reconstruction following a mastectomy. 

Sanford Health Plan of Minnesota covers reconstructive breast surgery and implants for those Members who had a mastectomy covered by this Plan, resultant from a disease, illness, or injury. SD and IA Members: For single mastectomy: coverage extends to the non-affected side to make it similar in size to the affected breast post-surgical reconstruction.

Includes two (2) external prosthesis per Calendar Year and two (2) bras per Calendar Year. For double mastectomy: coverage extends to two (2) external prosthesis per Calendar Year and two (2) bras per Calendar Year. MN Members: reconstructive breast surgery and implants are covered for those who had a mastectomy covered by this Plan resultant from a disease, illness or injury. This coverage extends to the non-affected side to make it similar in size to the affected breast post-surgical reconstruction. Includes two (2) bras per calendar year and replacements for external breast prosthesis or forms are limited to two (2) per affected side per calendar year.

Women's Health and Cancer Rights Act of 1998 (Breast Reconstruction)