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Does WHCRA require all group health plans, insurance companies and HMOs to provide reconstructive surgery benefits?

April 26, 2017Benefits companies group health plans HMOs Insurance reconstructive surgery require whcra

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Does WHCRA require all group health plans, insurance companies and HMOs to provide reconstructive surgery benefits?

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Generally, group health plans, as well as their insurance companies and HMOs, that provide coverage for medical and surgical benefits with respect to a mastectomy must comply with WHCRA. However, if your coverage is provided by a “church plan” or “governmental plan”, check with your plan administrator. Certain plans that are church plans or governmental plans may not be subject to this law.