• To file a claim for the Woman’s Choice Program, the patient must be accompanied by their surgeon and submit the required documentation as follows: 

    • Woman's choice program claim form signed by patient and surgeon.

    The following information is required to verify eligibility for reimbursement. 

    • Proof of explantation: e.g., a document from the clinic/surgeon that refers specifically to an explantation performed on a specific date. 
    • Invoices of the explantation surgery.

    See the Terms and Conditions.


    Submit a claim through this form with the requested documents.


    Learn more

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