To: Employees who are eligible to participate in the Group Health Plan
The Women's Health and Cancer Rights Act of 1998 requires group health plans that provide coverage for mastectomies, as ours does, to also provide coverage for reconstructive surgery and prostheses following mastectomies. Actual benefits are set out in the listing of benefits that you have already been provided. As required under the law, we are sending this notice to inform you about these available benefits.The law mandates that a participant or eligible beneficiary who is receiving benefits for a covered mastectomy and who elects breast reconstruction in connection with the mastectomy, will also receive coverage for:
This coverage will be provided in consultation with the patient and the patient's attending physician and will be subject to the same annual deductible, coinsurance and/or copayment, and benefit provisions otherwise applicable under the Plan.If you have any questions about coverage for mastectomies and post-operative reconstructive surgery, please contact your Human Resources benefit representative.
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