IQVIA Benefits Handbook
WOMEN'S HEALTH AND CANCER RIGHTS ACT OF 1998
Solely to the extent required under the Women's Health and Cancer Rights Act (WHCRA), the Medical Plan will provide certain benefits in connection with a mastectomy. The Medical Plan will include coverage for reconstructive surgery following a mastectomy.
If you or your eligible dependent(s) (including your spouse or domestic partner) are receiving benefits under the Medical Plan in connection with a mastectomy and elect breast reconstruction, the coverage will be provided in a manner determined in consultation with the attending physician and you or your eligible dependent(s) (including your spouse or domestic partner) for reconstruction of the breast on which the mastectomy was performed, surgery and reconstruction of the other breast to produce a symmetrical appearance and prostheses and treatment of physical complications at all stages of the mastectomy, including lymphedemas. See the Participating in the Health Care Plans section for a definition of eligible dependents.
Reconstructive benefits are subject to annual plan deductibles and coinsurance provisions like other medical and surgical benefits covered under the Medical Plan.