Your Rights After A Mastectomy...
Women's Health & Cancer Rights Act of 1998
Under the Women's Health & Cancer Rights Act of 1998 (WHCRA), if your group health plan covers mastectomies, the plan must provide certain reconstructive surgery and other post-mastectomy benefits, i.e. Breast Prostheses as a post-mastectomy benefit. Your health plan or issuer is required to provide you with a notice of your rights under WHCRA when you enroll in the health plan, and then once each year.
You can obtain more information about the WHCRA and your rights after a mastectomy by clicking on the following link:
Note: Proud Mary Prosthetics is not responsible for claim submission, correct coding, or reimbursement. Health plans vary and it is recommended you contact your health plan provider for more information or submit a preauthorization to determine benefits if you are unsure of your plan coverage.
WHCRA is administered by the U.S. Departments of Labor and Health and Human Services. If you have questions regarding your WHCRA rights under an
employer-sponsored group health plan, contact the following:
o EBSA's toll-free number 1.866.444.EBSA (3272). Ask for a copy of Your
Health Plan and HIPAA...Making the Law Work for You and a list of all
publications from the Employee Benefits Security Administration.
o EBSA's 15 field offices can assist you with health-related questions.
o National Association of Insurance Commissioners. Select State Insurance
Regulators, then the state of your choice for the office in your state.
o Centers for Medicare and Medicaid Services. Select HIPAA, then HIPAA
Health Insurance Reform for more information on WHCRA and HIPAA or
call toll free at 1.877.267.2323, extension 61565.
General Medicare Information
For general Medicare information about health plans, contact 1-800-MEDICARE
(1-800-633-4227) 24 hours a day, 7 days a week for assistance. Or visit their website at www.Medicare.gov