Women's Health and Cancer Rights Act

Since October 1998, federal law has required insurance companies to provide certain specific benefits for reconstructive surgery after mastectomy. We have always covered reconstructive surgery following mastectomy. UPMC Health Plan provides coverage for:

Additionally, Pennsylvania law mandates that coverage for mastectomy shall include a home health care visit within 48 hours of discharge when the discharge occurs within 48 hours of the admission for the mastectomy.

These procedures must be made in consultation with the patient and the attending physician. The coverage will be subject to annual deductibles, copayments, and coinsurance provisions that apply to other benefits under the plan.