Effective for charges incurred on or after January 1, 2012, HealthChoice will cover post treatment, breast symmetry surgery following breast-conserving surgery (lumpectomy) when the lumpectomy is medically necessary. All surgeries for post treatment, breast symmetry surgery must be certified through APS Healthcare. Photographs must be submitted for review.
If you have questions about this new coverage, please contact the Provider Relations Division at 1-405-717-8790 or toll-free 1-800-543-6044.
To certify a procedure, contact APS Healthcare toll-free at 1-800-848-8121.