The Women’s Health and Cancer Rights Act of 1998 requires all health plans offering mastectomy coverage to also provide benefits for the following services –
- All stages of 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 lymphedema
Quartz provides breast reconstruction benefits in accordance with this law. Coverage for these services is subject to the same limitations, exclusions and cost-sharing provisions that apply to other services provided under your health insurance plan. The copayment and deductible amounts that apply to your plan’s surgical benefit also apply to the mastectomy and breast reconstruction benefits. Please consult your Certificate of Coverage* and Summary of Benefits and Coverage for specific information.
If you have questions about your benefits, call Quartz Customer Service at (800) 362-3310.
* State of Wisconsin Health Insurance Program Participants should consult their It’s Your Choice: Reference Guide.