mastectomy reconstruction

[Guest Brenda N.]

The Women's Health and Cancer Rights Act requirements include benefits for all stages of reconstruction of the breast on which a mastectomy has been performed and sugery and reconstruction of the other breast to produce a symmetrical appearance. My question is, once symmetry of the breasts is achieved, does a plan have to cover additional surgery if the member wants to change breast size?

[Guest Cgross]

No. The Act only requires surgery to produce a symmetrical appearance.

Unless there were complications or additional surgery as a result of cancer, the surgery to change the breast size would not fall under WHCRA.