Medicare claims MUST be submitted by the company from which the purchase was made.
After we have received your payment, we will submit your Medicare form and you will be reimbursed directly by Medicare.
Medicare provides partial reimbursement for breast forms and mastectomy bras regardless of when you had surgery.
Currently, the allowable is at least 2 prostheses and 4 mastectomy bras a year.
All pocketed bras and breast forms are covered by Medicare. If you carry supplemental medical insurance,
please be sure to contact your insurance provider for reimbursement. If you are not eligible for Medicare, be
sure to file a claim with your health insurance provider.
A Medicare information sheet will be sent with your order. If you are eligible for Medicare, fill it
out and return it to us with your doctor's prescription, dated on or before the date of your order.
Inquiries about reimbursement should be made through your Medicare office. Please allow 10 to 12
weeks for reimbursement. "tlc"™ cannot guarantee Medicare reimbursement, which is based on Medicare's
assessment of a patient's needs.
Please note that many private insurance companies will reimburse
for hairpieces if your doctor writes a prescription specifying a "necessary cranial prosthesis."
Also, if you have lost or gained a significant amount of weight, Medicare may
reimburse you for new size breast forms, should this be necessary. However, a
doctor’s letter is required.
View the Medicare Regulations here.
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