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Insurance Information & Filing

Did you know that with a prescription from your physician, insurance will pay a portion or all of your breast forms

and pocketed bras? It's true!

And Pink Regalia can help with that.

Medicare usually covers 80% of pocketed bras and forms with supplemental insurance picking up the remainder. Contact your insurance provider to learn the details of your plan.

Forms/prosthetics can be replaced every 1-2 years [depending on insurance plan]

Bras may be replaced
as often as every 3 months.

In order to file your online order with your insurance provider, download our Prescription Form and have your physician fill complete.

The Women's Health and Cancer Rights Act of 1998 guarantees that insurance companies not only cover cost of mastectomy but also reconstruction, if chosen:

  • Reconstruction of the breast that was removed by mastectomy

  • Surgery and reconstruction of the other breast to make the breasts look symmetrical or balanced after mastectomy

  • Any external breast prostheses (breast forms that fit into your bra) that are needed before or during the reconstruction

  • Any physical complications at all stages of mastectomy, including lymphedema [fluid build-up in the arm & chest on the side of  surgery]

Tips for filing an insurance claim for your mastectomy supplies:


  1. Keep itemized receipt from your purchase to send to insurance company.

  2. Call your insurance company for more information on their filing procedures
    [often times they will have a form for you to fill out]

  3. Mail the requested information into your insurance company with your detailed receipt

  4. If needed, download above form, follow instructions to fill out and include in mailing

Our mission...

to provide you with exceptional service and innovative solutions in a safe and comfortable atmosphere.

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