WOMEN’S CANCER RIGHTS – ANNUAL NOTICE (The Women’s Health & Cancer Rights Act of 1998) The Women’s Health and Cancer Rights Act of 1998 mandates that if health plans provide medical and surgical coverage for mastectomies, the plan must also provide coverage for certain post-mastectomy reconstructive breast surgery services. President Clinton signed the Act into law on October 21, 1998. If reconstructive services must be covered, health plans must allow: Reconstruction of the breast on which the mastectomy has been performed; Surgery and reconstruction of the other breast to produce a symmetrical appearance; and Prostheses and treatment of physical complications of all stages of mastectomy, including lymphedemas. Grossmont Union High School District’s health plans already provide coverage for these services.
Benefits are elective to the patient, and would be provided in consultation between the patient and attending physician. The Act specifically allows that coverage may be subject to the health plan’s regular copayments and deductibles. If you have questions, please call the phone number on your medical ID card to speak with a Customer Service Representative. Benefits are subject to each plan’s co-payments. Mailed: November 2016 C:\Users\ddq320\Documents\Women's Cancer Rights\Women's Cancer Rights - Annual Notice. 2016.doc
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