Mastectomy & breast care
Amoena Essential Light 3E Breast Form
Ordered through our account with Amoena
Lightweight silicone breast form that restores balance and shape after surgery.
Frequently covered after mastectomy surgery with a prescription. Many plans also cover a replacement form on a set schedule — we check yours.
HCPCS code
L8030
Shown for reference — final billing depends on the exact item, size and documentation. Our intake team confirms the code with your plan.
We confirm your coverage and authorization before anything is delivered.
Your doctor can fax the order, prescription and medical records to (844) 474-7923.
How to use it
Set-up, use and care
- 1
Bring the bra or camisole the patient plans to wear so the form is sized to that pocket.
- 2
Place the form in the pocket with the contoured side outward and check the neckline sits level.
- 3
Hand wash in gentle soap, dry with a soft towel and store it in its mold.
Description
A lightweight silicone form that matches the drape and balance of natural tissue, with a tapered edge that sits smoothly in a pocketed bra. Sizing is done with the patient, not guessed.
Good to know
- Fitted in person to match size and shape
- Lightweight silicone with a tapered edge
- Carry case and cleaning supplies included
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