Women's Health and Cancer Rights Act

If you or one of your covered dependents have had or are going to have a mastectomy, you may be entitled to certain benefits under the Women’s Health and Cancer Rights Act of 1998 (WHCRA). For individuals receiving mastectomy¬ related benefits, coverage will be provided for the following services in a manner determined in consultation with the attending physician and the patient: 

  • All stages of reconstruction of the breast on which the mastectomy was performed
  • Surgery and reconstruction of the other breast to produce a symmetrical appearance
  • Prostheses
  • Treatment of physical complications of all stages of the mastectomy, including lymphedemas 

These benefits will be provided subject to the same deductibles and coinsurance applicable to other medical and surgical benefits available under the plan.

For information on WHCRA benefits or details about any state laws that may apply to your medical plan, please refer to the benefit material for the plan in which you are enrolled.