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Anthem moves to cover surgical mesh for breast reconstruction
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Fusion42 · 9 September 2026 · Fusion42 review
Anthem has updated its clinical guideline to cover three specific surgical meshes for breast reconstruction surgery, recognising them as medically necessary despite the meshes not having FDA approval. This move follows additional data and peer-reviewed studies supporting their use and reflects a broader trend of insurers revising policies to cover these meshes.
This Wire brief sits within Fusion42's coverage of Medtech.
◆ ◆ The Wire takeaway
You now have a clearer path to getting paid for breast reconstruction meshes without FDA approval. Start conversations with insurers like Anthem to expand payment coverage while the policy environment shifts.
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1 source · 8 Sep 2026
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