Healthcare Provider FAQs

Breast cancer patients go through different phases in their breast surgery journey. Despite a surgeon's best efforts, many patients experience asymmetry after lumpectomy and radiation, chestwall asymmetry after mastectomy and failed reconstruction attempts. We do not have to leave these patients with deficits--we can use prosthetics to provide symmetry, balance and confidence. Prosthetics can be used at various stages of breast surgery and reconstruction. 


What choices are available to my patient after mastectomy?

Standard breast prosthesis-an off the shelf prosthetic with limited color choices and various sizes to match the remaining breast.

Custom breast prosthesis-a prosthesis tailored made to match the skin tone and architecture of the chestwall. It comes in 31 different shades to match all skin tones and ethnicities.

What choices are available to my patient after lumpectomy?

There are partial prosthetics in varied shapes and sizes to help fill in volume loss after lumpectomy. For patients with severe asymmetry, a custom partial prosthesis can be created with 31 different shades to match all skin tones and ethnicities.

What choices are available for my patient undergoing reconstruction?

Prosthetics can play an important role and assist the patient with symmetry while undergoing the various stages of reconstruction. A layered prosthesis can be used with expanders to provide symmetry for the active patient. The layers peel away during the phases of expansion. A standard prosthesis can assist with patients undergoing delayed reconstruction or need a break in between procedures.

Are prosthetics and bras covered by insurance?

Yes, bras and breast prosthesis are categorized as Durable Medical Equipment (DME). These are covered by most insurance plans with a written order by a licensed medical provider. We have order forms on our website for your convenience that meet all the insurance requirements.

How many prosthetics and bras are covered for my patient?

This can vary by insurance carrier, our team can assist your patient. Most insurances provide one silicone prosthesis per mastectomy site every other year. There are other non-silicone prosthetics (i.e. active forms) that can be replaced sooner.

What's a breast prosthetic?

An artificial breast that is placed in a bra, or directly on the skin for use after a woman’s own breast has been surgically altered or removed.

Whether the loss of the breast is permanent or temporary, a breast prosthesis can be worn to simulate the natural breast shape. Wearing a breast prosthesis is a highly popular personal choice. Many women choose to wear one because they want to wear the same clothing that they wore prior to the surgery and they want to look symmetrical.

We accept the following insurance providers:

  • CareFirst Blue Cross Blue Shield
  • Virginia Anthem Blue Cross Blue Shield
  • All out-of-state Blue Cross Blue Shield family of companies
  • Amerigroup
  • Aetna
  • Cigna
  • Colonial Life
  • Medicare
  • Maryland Medicaid (Not issued by another insurance company)
  • Tricare
  • Virginia Medicaid (Not issued by another insurance company)

We will soon be able to handle all medical insurance billing in-house.

Click this link to be notified as to when we can accept other individual insurance providers.

 

Frequently asked questions

  1. Welcoming Atmosphere: When you arrive at our store, you'll be greeted by our friendly and compassionate staff. We aim to create a warm and welcoming environment where you can feel at ease.
  2. Personal Consultation: Your fitting will begin with a one-on-one consultation with one of our certified mastectomy fitters. They will take the time to get to know you, your specific needs, and any concerns you may have.
  3. Privacy and Comfort: We understand the importance of privacy during this process. Our fitting rooms are designed to provide you with a comfortable and discreet space where you can try on bras and garments.
  4. Expert Measurement: Our certified fitters are highly trained in post-mastectomy fitting techniques. They will take precise measurements to determine your bra size accurately, ensuring the best fit and support.
  5. Selection of Bras: Based on your preferences and needs, our fitter will guide you through our collection of post-mastectomy bras. These bras are specifically designed with features such as pockets for breast forms or prostheses, soft fabrics, and comfortable straps to provide you with the utmost comfort and confidence.
  6. Personalized Recommendations: Our fitters will provide you with personalized recommendations based on your body shape, surgical procedure, and preferences. They will explain the features and benefits of different bras and help you choose the ones that are right for you.
  7. Try-On Session: You will have the opportunity to try on various bras to ensure they fit comfortably and provide the desired support. Our fitters will make any necessary adjustments and alterations to ensure the perfect fit.
  8. Education and Support: Throughout the fitting process, our staff will provide you with information and guidance on caring for your bras, prostheses, and overall breast health. We are here to answer any questions you may have and offer emotional support as well.
  9. Selection of Other Lingerie: In addition to bras, we offer a range of post-mastectomy lingerie, including camisoles, swimwear, and accessories to help you feel confident and stylish.
  10. Personalized Service: At Cherry Blossom Intimates, we understand that every individual's experience is unique. We are committed to providing you with a personalized and empathetic experience that caters to your specific needs and preferences.

We are dedicated to providing you with the highest quality products and services to support your post-mastectomy needs. Here's a breakdown of our pricing:

  1. Bras: Our standard post-mastectomy bras are priced at $60 each without insurance coverage. These bras are designed to offer comfort, support, and style, specifically tailored to your unique needs after a mastectomy. They come in a variety of styles and colors to suit your preferences.
  2. Prostheses: Prostheses are available in a range of options, each with its own features and benefits. The pricing for prostheses can vary depending on the type and materials used. Our prostheses typically range in price from $80 to $500. We offer a variety of prosthetic options to accommodate different budgets and individual requirements.

Kindly bring a copy of a government issued photo ID, your insurance cards, a referral from your doctor (can be your primary care, oncologist, or surgeon).

  • Aetna (HMO, PPO, Medicare)
  • Amerigroup (Maryland)
  • Breast & Cervical Cancer Program of Maryland
  • BCCP of Department of Health
  • Blue Cross Blue Shield
  • CareFirst Blue Cross Blue Shield (all-HMO, PPO, POS, Medicare)
  • Cigna
  • Johns Hopkins Healthcare EHP
  • Johns Hopkins US Family Health Plan
  • Kaiser of the Midatlantic
  • Medicare
  • Medicaid: Maryland, DC and Virginia
  • Maryland Physicians Care
  • Priority Partners MCO (a division of Johns Hopkins Healthcare)
  • Tricare-Humana/Tricare East (Military insurance)

Updated 10.1.23

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