The Women’s Health Act of October 21, 1998 protects individuals who elect breast reconstruction in connection with a mastectomy. If you or your eligible dependent received benefits under this Plan in connection with a mastectomy and then elect breast reconstruction, coverage will be provided for the following:

• Reconstruction of the breast on which the mastectomy was performed;

• Surgery and reconstruction of the other breast to produce a symmetrical appearance;

• Prostheses and treatment of physical complications at all stages of the mastectomy, including lymphedemas.

me Payment for breast reconstruction follows the same guidelines established for all surgical procedures performed under the Plan. All deductibles and maximums contained in your schedule of benefits for surgical procedures and the related charges also apply to breast reconstruction surgery and the related charges. If you have questions, please contact this office. We will be happy to explain your benefits and how breast reconstruction is included in your coverage.