Important Information About Mastectomy Coverage

The federal government passed legislation mandating specific coverage for health plan members who choose to have breast reconstruction surgery after a mastectomy. This legislation is called the Women’s Health and Cancer Rights Act of 1998.

For many years, Dean Health Plan (DHP) has provided coverage for breast reconstruction after a mastectomy and related services. As required by law, we provide coverage for:

• Reconstruction of the breast on which a mastectomy has been performed
• Surgery and reconstruction for the other breast to produce a symmetrical appearance
• Prostheses
• Care for physical complications during all stages of mastectomy, including lymphedema

These benefits are subject to deductibles, copayments and coinsurance as stated in your plan documents.

If you have any questions about the benefits related to these services, please call the DHP Customer Service Department at 608-828-1301 or toll-free at 800-279-1301.

Our Customer Service hours are Monday through Thursday, from 7:30 a.m. to 5 p.m., and Friday, from 8 a.m. to 4:30 p.m.

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