Women - Cancer Rights Act 1998

This form was updated on: Sep 1, 2014

WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998

 IMPORTANT NOTICE ABOUT YOUR RIGHTS UNDER YOUR GROUP HEALTH PLAN:

 
Under the Women’s Health and Cancer Rights Act of 1998, the Plan is required to notify you, as a Plan participant or beneficiary, of your rights related to benefits provided through the Plan in connection with a mastectomy.  As a Plan participant or beneficiary, you are entitled to have coverage provided in a manner determined in consultation with your attending physician for:
 
  • All stages of reconstruction of a breast on which a mastectomy was performed 
  • Surgery and reconstruction of the other breast to produce a symmetrical appearance 
  • Prosthesis and treatment of physical complications of a mastectomy, including lymphedema
 
Keep this notice for your records and call the Claims Administrator (1-800-777-3575) if you would like more information about these benefits.