Dear Plan Participant/Beneficiary:
On October 21, 1998, Congress enacted the Women’s Health and Cancer Rights Act of 1998. This Notice explains some important provisions of the Act. Please review this information carefully.
As specified in the Women’s Health and Cancer Rights Act of 1998, a participant or beneficiary enjoying coverage under the Plan of Benefits of the Teamsters Health and Welfare Fund of Philadelphia and Vicinity who elect breast reconstruction in connection with a mastectomy also will be covered for:
- reconstruction of the breast on which the mastectomy was performed;
- surgery and reconstruction of the other breast to produce a symmetrical appearance; and
- prostheses and treatment of physical complications at all stages of the mastectomy, including lymphedemas.
Of course, the coverage will be provided in a manner determined in consultation with the attending physician and the patient.
Deductibles and coinsurances established for other benefits under your Plan also apply to these reconstructive surgery benefits.
The Women’s Health and Cancer Rights Act of 1998 applies to your benefits immediately.
Please keep this information with your other group health plan documents. If you have any questions about the Health and Welfare Fund’s coverage of mastectomies and reconstructive surgeries, please call the Fund’s Member Services Department at 1-800-523-2846, extension 1910, Monday through Friday, 8:00 a.m. to 5:00 p.m.