The Women's Health and Cancer Rights Act of 1998 requires group health plans to notify plan participants and beneficiaries of certain benefits provided under the plan. The Shared Services Group Health Plan provides the following coverage to any Plan participant or beneficiary who is receiving Plan benefits for a medically necessary mastectomy:
- reconstruction of the breast on which the medically necessary mastectomy was performed;
- any necessary surgery and reconstruction of the other breast to produce a symmetrical appearance;
- the cost of prostheses (such as implants or special bras);
- treatment for physical complications of all stages of mastectomy, including lymph edemas, as determined in consultation with the attending physician and the patient.
This coverage will be subject to the same deductibles and co-payments that apply to mastectomies under the Plan's terms in effect at the time of treatment.