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Starting January 1, 2024, a significant change has come into effect for those managing lymphedema: Medicare now covers lymphedema products for patients with Medicare Part B who meet specific criteria. This is all thanks to the Lymphedema Treatment Act, a pivotal law that marks a new era in lymphedema care. In this blog post, we'll explore what this means for patients, what items are covered, and how you can take advantage of these benefits. If you need lymphedema compression garments in San Diego, our specialists at Bras and Honey Lingerie are here to help. We offer top brands and provide both ready-made and custom options to meet your specific needs.
Medicare now pays for both standard and custom-fitted lymphedema compression treatment items for each affected body part. This includes:
Medicare covers compression garments and accessories at the following frequencies:
To qualify for Medicare coverage of these treatment items, the following conditions must be met:
When providing a lymphedema compression treatment item, you are responsible for:
The Lymphedema Treatment Act, passed by the U.S. Congress in December 2022, represents nearly a decade of advocacy and effort by the lymphedema community. This legislation has created a new benefit category within Medicare, providing significant relief for patients who previously faced out-of-pocket expenses for necessary compression garments.
Lymphedema, which often develops after cancer treatments that remove or damage lymph nodes, affects an estimated 3 to 5 million people, with 1.5 to 3 million being Medicare beneficiaries. For breast cancer patients, lymphedema is commonly associated with axillary lymph node surgery and radiation therapy.
Data shows that some communities are disproportionately impacted by lymphedema. For example, Black women are three and a half times more likely than white women to develop breast cancer-related lymphedema. The new Medicare coverage aims to reduce these disparities by making essential compression treatment more accessible.
To take advantage of the new Medicare coverage for lymphedema products, follow these steps:
If you need lymphedema compression garments in San Diego, our specialists at Bras and Honey Lingerie are here to help. We offer top brands and provide both ready-made and custom options to meet your specific needs.
For personalized assistance and to find the perfect garment for you, contact us today!
Coverage Criteria Recap
Medicare will reimburse for lymphedema garments and supplies when:
Medicare will cover:
For more detailed information about Medicare coverage for lymphedema products, please visit our website page about the Lymphedema Treatment Act. This new coverage is a significant step forward in reducing the financial burden on patients and improving access to essential treatments.
If you need lymphedema compression garments in San Diego, our specialists at Bras and Honey Lingerie are here to help. We offer top brands and provide both ready-made and custom options to meet your specific needs. We are also contracted to all the major healthcare providers including Medicare, Kaiser, Blue Shield, Aetna, United Healthcare, Tricare and Many more.
Please note: Our compression specialists are not medical professionals and can only provide guidance on the fit of compression garments. For a comprehensive assessment, consult a fitter, doctor, or therapist who can compare multiple brands and find the garment that will help you achieve optimal results.
The choice to use a prosthesis is entirely yours. Many medical providers recommend breast forms because their weight helps improve posture, prevent shoulder drop, relieve neck and back pain and address balance issues
What to Expect from a Certified Mastectomy Fitter in San DiegoThe undergarments you wear should never interfere with your day-to-day activities—in fact, they should fit so comfortably that you forget you're even wearing them. If that sounds impossible, there's a good chance you haven't been wearing the right size. Fortunately, learning how to measure your bra size doesn't take long.
