This adjustable breast form's design includes an integrated air chamber that enables a perfect fit and a balanced silhouette, simply by adding or releasing air. It also features Outlast® Comfort+, a temperature-equalizing technology that reduces perspiration behind the form, making it comfortable to wear all day every day. Prosthetics or symmetry shapers fit easily into pockets; forms not included Includes breast form and pump Polyurethane film/medical-grade silicone Hand wash, dry flat Made in Germany Nordstrom currently does not accept insurance for items purchased online. Please contact your insurance provider for coverage and filing information In-store fit services are only available to customers purchasing prosthesis merchandise in store and with the required support of a certified prosthesis fitter For questions about our Breast Prosthesis Program, please use Live Chat or call 1-800-842-4241