This is a project of the National Center for Health Research

We are running a free program at the National Center for Health Research to assist women with health problems caused by breast implants to get health insurance coverage to remove their implants. We cannot guarantee that you will receive coverage, but we are here to help you as best we can. We assist you by looking at your specific insurance policy to determine if it might cover the cost of implant removal. Then we can provide you with a drafted letter for your doctor to use, based on your policy, when filing a claim with your insurance company. Or if you don’t have health insurance, we may be able to advise you of an affordable policy that might cover breast implant removal. If our assistance is something you might be interested in, please fill out this very short survey and we will be in touch with you soon:

[For more information, see www.breastimplantinfo.org]

* 1. As described above, would you like our help in getting insurance coverage for breast implant removal?

* 2. We want to help women with implant problems. May we contact you if we have questions about your responses to this survey? We will be contacting you by email. Be sure to include an email address that you use regularly, and check to make sure it is correct.

* 3. Do you currently have breast implants in your body?

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