CBS2-Header-Logo WFAN 1010WINS WCBS tiny WLNYLogo

News

Out-Of-State Breast Reconstructions To Be Covered In New York State

Surgery

(Credit: CBS 2)

CBS New York (con't)

Affordable Care Act Updates: CBSNewYork.com/ACA

Health News & Information: CBSNewYork.com/Health

ALBANY, N.Y. (CBSNewYork/AP) — Patients who see out-of-network plastic surgeons for breast reconstruction will be covered in New York state, under an agreement announced Thursday between the state and insurer Empire Blue Cross Blue Shield.

New York State Attorney General Eric Schneiderman said Thursday that Empire members who undergo the surgery following a mastectomy will be covered if an in-network surgeon isn’t available at the hospital where the surgery is done.

New York and federal law requires plans to cover post-mastectomy breast reconstruction as determined by the physician and patient.

Empire had denied some patients out-of-network exceptions, resulting in some patients having to go to different hospitals where the specialists were in-network.

Empire did not initially return calls seeking comment.

Check Out These Other Stories From CBSNewYork.com:

(TM and © Copyright 2014 CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2014 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.)