Do you know what all of your options are following a mastectomy? Generally you have four: breast reconstruction, off-the-shelf breast prosthesis, custom breast prosthesis, or go flat. But one of these is not covered by Medicare. Currently, custom breast prostheses is not covered by Medicare, taking this option away from you. No two women are the same and with each unique situation, you should be able to choose the solution that works best for you.