CommercialCoverageMedium impact
Mastectomy treatment, breast reconstruction and hospital stays mandates
Blue Cross Blue Shield of Rhode Island·RI · General Surgery, Plastic Surgery, Oncology +1 more·Physician / Facility
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Blue Cross Blue Shield of Rhode Island has implemented federal and state mandates for mastectomy treatment, breast reconstruction, and hospital stays coverage effective January 1, 2019. This policy addresses coverage guidelines and cost-sharing requirements for these procedures, ensuring compliance with mandated benefits.
Action Required
Review the full policy text at the provided URL to understand specific coverage guidelines and cost-sharing requirements for mastectomy and breast reconstruction procedures. Billing team should verify current billing practices align with BCBS RI mandated coverage requirements and update authorization processes if needed.