Only one breast prosthesis per side for the useful lifetime of the prosthesis.Use in the post-operative period prior to a permanent breast prosthesis or as an alternative to a mastectomy bra and breast prosthesis or.An external breast prosthesis garment with mastectomy form for:.Up to four breast prosthesis bra (mastectomy bra) replacements every 12 months.For persons who have had a mastectomy, "initial" applies to a breast prosthesis and bras purchased within one year after the mastectomy is performed, not the first breast prosthesis prescribed after the member's Aetna coverage becomes effective. Under these plans, an initial external breast prosthesis and up to four initial breast prosthesis bras (mastectomy bras) are covered following a medically necessary mastectomy or for persons with gender dysphoria. Please check benefit plan descriptions for details.
Note: Some Aetna plans limit prosthetic coverage to an initial medically necessary prosthesis and do not cover replacement prostheses. For members who have a medically necessary mastectomy form or silicone (or equal) breast prosthesis when the pocket of the bra is used to hold the form/prosthesis or.Initially following a medically necessary mastectomy or.Up to four breast prosthesis bras (mastectomy bras): Following a medically necessary mastectomy orĪetna considers the following medically necessary:.This Clinical Policy Bulletin addresses external breast prosthesis.Īetna considers external breast prosthesis medically necessary:
BELLISSE COMPRESSION BRA SKIN
In addition to JoviPak post-surgical bras and compression bras, we also have a large selection of lymphedema shoes and boots, as well as bandaging supplies, compression garments, wound care supplies, and skin care supplies.Number: 0097 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References If you need assistance with questions about JoviPak post-surgical bras and compression bras or our other lymphedema products, you can call us Monday through Friday, from 9:00 am - 5:30 pm Eastern time, at (800) 770-1032, or email us any time at of Healthcare Products For Post-Surgery and Lymphedema Please read our Returns Policy regarding post-surgical bras and compression bras. Other Information About Post-Surgical and Compression Bras for Lymphedema
- Ready to wear and available in a large range of sizes with both a front zipper for easy donning and a variable position back closure (provides unprecedented adjustability).- Latex-free (makes them more comfortable to wear while being skin friendly).- Designed for use with the JoviPak Bellisse Pad (if extra compression is reguired).- Can be worn day or night and is fully adjustable (functions as a daytime and nighttime compression garment).- Able to be worn comfortably and unobtrusively under clothing (easily becomes a part of your existing wardrobe).- Has an attractive shape that provides a gentle caress of compression over critical areas of the chest, breasts and back (addresses the specific needs of women with chest or breast lymphedema).Some of the top features of JoviPak post-surgical and compression bras for lymphedema include:
Utilizing state-of-the-art fabrication and high-quality construction to apply gentle, the Bellisse Compressure Comfort post-surgical and compression bra provides continuous compression and support to the chest and breast area, facilitating lymph drainage from the chest and breast following breast cancer surgery and other chest or truncal surgical procedures.įeatures of JoviPak Post-Surgical and Compression Bras for Lymphedema The JoviPak Bellisse Compressure Comfort post-surgical and compression bras are specially designed to fit various body contours making them useful in providing targeted therapy for the treatment and management of fibrosis or edema, and are especially useful in the treatment of acute and chronic lymphedema. JoviPak Bellisse Compressure Comfort Bra For Lymphedema Post-Surgical Bras and Compression Bras for Lymphedema
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