Women's Health and Cancer Rights Act

Women's Health and Cancer Rights Act of 1998

If you 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 in a manner determined in consultation with the attending physician and the patient, for:

  1. Reconstruction of the breast on which a mastectomy has been performed
  2. Surgery and reconstruction of the other breast to produce a symmetrical appearance
  3. Prostheses
  4. Treatment of physical complications of all stages of medical and surgical benefits provided under the plan

This coverage will be provided in consultation with the attending physician and the patient, and will be subject to the same co-insurance and any applicable annual deductibles that apply for the mastectomy.