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Prophylactic Mastectomy: Risk Reduction, Not Cosmetic Surgery


Prophylactic mastectomy may be recommended for patients with high genetic risk (e.g., BRCA mutations) even without active cancer.
What It Costs
MOH benchmarks typically indicate:
• Surgeon fee: SGD 6,000 – 10,000 (unilateral)
• Anaesthetist fee: SGD 1,800 – 3,000
What’s Typically Covered
Coverage varies widely:
• Some insurers recognise medical risk reduction
• Others classify as elective
Insurance Tip
Genetic testing results and specialist recommendations are essential for approval.
Conclusion
Risk-reducing surgery sits at the boundary of coverage. Documentation decides.
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