On October 21, 1998, the Women’s Health and Cancer Rights Act was signed into law. Effective for plan years on or after that date, group health plans, insurance companies and health maintenance organizations (HMOs) offering mastectomy coverage must also provide coverage for reconstructive surgery in a manner determined in consultation with the attending physician and the patient. Medical Mutual and its Family of Companies and Aultcare, Inc. take this responsibility seriously. Coverage includes:

  • Reconstruction of the breast on which the mastectomy was performed.
  • Surgery and reconstruction of the other breast to present a symmetrical appearance.
  • Prostheses and treatment of physical complications at all stages of the mastectomy procedure, including lymphedemas (swelling of the hand and arm on the operated side).

These benefits will be provided subject to the same deductibles and coinsurance applicable to other medical and surgical benefits provided under this plan.

If you have any questions about this or other healthcare benefits, please contact your healthcare benefits representative or call the Customer Service number listed on your identification card.