Insurance coverage for plastic surgery can be somewhat of a challenge. Generally, the question that must be answered is whether the recommended procedure is medically necessary or is sought for cosmetic reasons. This is an interesting guidepost because one could argue that breast reconstruction is done for those very reasons. The difference, however, is that if you've undergone a mastectomy, lumpectomy, or other treatment for breast cancer, your disease and necessary treatment may have very likely altered the natural appearance of your breasts. Reconstruction is just the closure you may need to bring your breast cancer journey full circle.