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). Federal law requires group health insurance to provide coverage for the following services to an individual receiving plan benefits in connection with a mastectomy; thus the health plans offered by Vanguard will provide coverage for those services in accordance with this law. The required mastectomy coverage includes:
- 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.
- Teatment of physical complications at all stages of the mastectomy, including lymphedema.
The benefits for these services will be provided in a manner determined in consultation with the attending physician and patient. These services will be subject to the annual deductibles and coinsurance applicable to your health plan. If you would like more information on WHCRA benefits, please contact Crew Central at Ext. 1CREW.