However, in Louisiana , reimbursement for the reconstructive surgery is required only if it is performed under the same policy or plan as the mastectomy. In Arkansas , Florida , and Missouri , specified insurers and HMOs that cover mastectomy also must reimburse for prosthetic devices and cover reconstructive surgery following a mastectomy. In Florida and Missouri , coverage is subject to deductibles and co-insurance, and in Florida only, HMOs may charge an additional premium for the coverage. The Arkansas law also applies to public employee health plans. Legislation passed in Indiana requires specified insurers and HMOs that cover mastectomy to also cover prosthetic devices as well as breast reconstructive surgery to produce symmetry.
Coverage is subject to deductibles and co-insurance provisions.
The Montana law mandates that specified insurers cover prosthetic devices and reconstructive surgery following a mastectomy on both the diseased and non-diseased breast. Furthermore, the law requires contracts providing outpatient x-ray or radiation therapy to cover outpatient chemotherapy following breast cancer surgery. New Jersey expanded its coverage of breast reconstructive surgery, so that specified insurers must now provide benefits for the reconstruction of both breasts following a mastectomy to provide symmetry. HMOs must provide the same coverage and cover the cost of protheses, and HMOs that provide outpatient x-ray or radiation therapy must cover outpatient chemotherapy following breast cancer surgery. The legislation passed in Pennsylvania requires HMOs, the state medical assistance program, and other specified insurers that provide coverage for mastectomies, to also cover prosthetic devices and reconstructive surgery on both breasts to produce symmetry.