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To: All Eligible WELS VEBA Group Health Care Plan Participants and Dependents
Re: Women's Health and Cancer Rights Act of 1998
Under this new federal law, group health plans that provide medical and surgical benefits to a person who is receiving benefits from the Plan in connection with a mastectomy, must provide benefits for certain reconstructive surgery.
Although the WELS VEBA Group Health Care Plan has previously considered this a benefit of the Plan, the new law assures that coverage is available for all people who receive Plan benefits in connection with a mastectomy and then elect breast reconstruction.
Coverage must be available for the following:
- 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 in all stages of mastectomy
Coverage of the above is subject to the deductible or co-payment provisions and limitations applied by the Plan for covered treatments.
If you have any questions regarding this benefit, please contact the Benefit Plans Office at 1-800-487-8322 or by e-mail to bpo@sab.wels.net.
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