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.
