Breast Reconstruction Surgery Benefits
and the Women's Health and Cancer Rights Act of 1998

If you are receiving covered benefits for a mastectomy, you should know that the Women's Health and Cancer Rights Act of 1998 provides for:

• reconstruction of the breast(s) on which a covered mastectomy has been performed;

• surgery and reconstruction of the other breast to produce a symmetrical appearance;

• prostheses and treatment of physical complications related to all stages of a covered mastectomy, including lymphedema (swelling).

The manner in which services are provided is between you and your physician. Coverage is subject to all of the terms and conditions stated in your member certificate, including any applicable deductible, co-payment and coinsurance. You may be entitled to additional benefits as mandated by state law. Check your member certificate for details.
WHCRA notice 2006