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The Women’s Health and Cancer Rights Act of 1998

The Women’s Health and Cancer Rights Act of 1998 (WHCRA) applies to group health plans that (1) have two or more participants who are current employees and (2) that offer benefits for mastectomies.

Under WHCRA, group health plans offering mastectomy coverage must also provide coverage for certain services relating to the mastectomy in a manner determined in consultation with the attending physician and the patient.

Despite the title, nothing in the law limits entitlement to WHCRA benefits to cancer patients or women. If an individual is receiving benefits in connection with a mastectomy and the group health plan covers mastectomies, then the individual should be entitled to WHCRA benefits.

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