What services must be covered under WHCRA?

Plans that cover mastectomy must also cover reconstruction of the breast, surgery on the opposite breast for balance, prostheses, and treatment of complications like lymphedema. These services cannot be excluded if mastectomy is covered.

What law protects coverage for breast reconstruction?

The Women’s Health and Cancer Rights Act (WHCRA) requires most employer-sponsored health plans that cover mastectomy to also cover breast reconstruction. This includes reconstruction of the removed breast and procedures needed for symmetry.