OP here. I think that because legislation is different now, a bilateral mastectomy, be it elective or secondary to cancer, is covered, at least by federal BCBS. I am a federal employee. There was actually a bit of a hiccup where the plastic surgeon wanted to do a mastopexy (breast lift) before the mastectomy, as this would increase the likelihood that the nipple would receive the vasculature it needed to survive. This would NOT have been covered, as it was still deemed cosmetic. Since I was on the cusp measurement-wise of the masopexy being effective, we opted not to do it. It would have been about 8,000.
I too feel amazing emotionally about not worrying about breast cancer anymore. I feel like I've been freed of 25 years (literally) of worry.
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