Statement from Commissioner Pieciak: DFR staff continue to work remotely and will do so until further notice. The department is still conducting business, however there may be some temporary delays in DFR services. 

Post-Mastectomy Revision Denials

20 February 2020

The Department of Financial Regulation (DFR), in consultation with interested stakeholders, is gathering information related to the denial of health insurance coverage for surgical post-mastectomy revision after chest wall reconstruction, commonly known as “flat surgery.” The denials may be due, in part, to problems with coding and billing standards.

DFR is asking anyone who has experienced post-mastectomy revision denials to contact the department.

DFR may be able to help the patients coordinate with their insurance company for a better outcome in insurance coverage.

Under HIPAA, protected health information will be kept strictly confidential, but any responses may be used to inform possible legislation and/or guidelines to insurers to prevent future coverage denials for patients.

If you have had your health insurance coverage denied for a post-mastectomy revision, please contact DFR Consumer Services at 833-DFR-HOTLINE or dfr.insuranceinfo@vermont.gov.

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Department of Financial Regulation
Consumer Services 
89 Main Street, Montpelier, VT 05620 - 3101

802-828-3301
833-DFR-HOTLINE (toll free)
833-337-4685 (toll free)

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