{"id":2381,"date":"2016-05-01T22:28:20","date_gmt":"2016-05-01T22:28:20","guid":{"rendered":"http:\/\/www.afm47.org\/press\/?p=2381"},"modified":"2016-04-21T23:15:02","modified_gmt":"2016-04-21T23:15:02","slug":"hw-womens-health-and-cancer-rights-act-of-1988-whcra-newborn-and-mothers-health-protection-act-of-1996-nmhpa","status":"publish","type":"post","link":"https:\/\/afm47.org\/press\/hw-womens-health-and-cancer-rights-act-of-1988-whcra-newborn-and-mothers-health-protection-act-of-1996-nmhpa\/","title":{"rendered":"H&#038;W: Women\u2019s Health and Cancer Rights Act of 1988 (WHCRA) &#038;  Newborn and Mothers Health Protection Act of 1996 (NMHPA)"},"content":{"rendered":"<p><em><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-2182 size-medium\" src=\"https:\/\/afm47.org\/press\/wp-content\/uploads\/2016\/02\/HW-268x300.jpg\" alt=\"H&amp;W\" width=\"268\" height=\"300\" srcset=\"https:\/\/afm47.org\/press\/wp-content\/uploads\/2016\/02\/HW-268x300.jpg 268w, https:\/\/afm47.org\/press\/wp-content\/uploads\/2016\/02\/HW.jpg 484w\" sizes=\"auto, (max-width: 268px) 100vw, 268px\" \/>Reconstructive Surgery Fully Covered After Mastectomy<\/strong><\/em><br \/>\n<strong>WOMEN\u2019S HEALTH AND CANCER RIGHTS ACT OF 1998<\/strong><\/p>\n<p>The Professional Musicians Local 47 and Employers Health and Welfare Fund (\u201cthe Fund\u201d) purchases health insurance benefits through Health Net of California and provides you with this notice as required by the Women\u2019s Health and Cancer Rights Act of 1988 (WHCRA).<\/p>\n<p>In compliance with WHCRA, Health Net provides benefits for mastectomy-related services, including all stages of reconstruction and surgery to achieve symmetry between the breasts, prostheses, and for complications resulting from a mastectomy, including lymph edemas.<br \/>\nAlthough reconstructive surgery after a mastectomy is generally a covered procedure, some procedures are, of course, classified as cosmetic and, therefore, not covered.<!--more--><br \/>\nUnder the WHCRA, and in the case of a participant or beneficiary who is enrolled with and receiving benefits from the Fund, in connection with a mastectomy and elects reconstruction, federal law requires coverage, in a manner determined in consultation with the attending physician and the patient, for:<\/p>\n<p>\u2022 reconstruction of the breast on which the mastectomy is performed;<\/p>\n<p>\u2022 complications at all stages of a mastectomy, including lymphedemas;<\/p>\n<p>\u2022 all any necessary prostheses required as a result of the mastectomy; and<\/p>\n<p>\u2022 surgery and reconstruction of the other breast to produce a symmetrical appearance.<\/p>\n<p>This coverage is subject to the Fund\u2019s co-payments schedule or any applicable deductibles. For more information on this and other benefits please call PacFed Benefit Administrators at (818) 243-0222.<\/p>\n<p><strong>NEWBORN AND MOTHERS HEALTH PROTECTION ACT OF 1996 (NMHPA)<\/strong><\/p>\n<p>Group health plans and health insurance issuers generally may not, under Federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother or newborn child to less than 48 hours following a vaginal delivery, or less than 96 hours following a cesarean section. However, Federal law generally does not prohibit the mother\u2019s or newborn\u2019s attending provider, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, plans and issuers may not, under Federal law, require that a provider obtain authorization from the plan or the issuer for prescribing a length of stay not in excess of 48 hours (or 96 hours). The Fund, through the insurance benefits provided by Health Net, fully complies with the NMHPA.<\/p>\n<p>Keep an eye out for our next update, in which we will review the Health Care Reform Act, the various implementing regulations just issued by the Federal Government and how all of this will impact you and the Fund.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reconstructive Surgery Fully Covered After Mastectomy WOMEN\u2019S HEALTH AND CANCER RIGHTS ACT OF 1998 The Professional Musicians Local 47 and Employers Health and Welfare Fund (\u201cthe Fund\u201d) purchases health insurance benefits through Health Net of California and provides you with this notice as required by the Women\u2019s Health and Cancer Rights Act of 1988 (WHCRA). [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","footnotes":""},"categories":[5],"tags":[613,578,690,691,692,689],"class_list":["post-2381","post","type-post","status-publish","format-standard","hentry","category-news","tag-hw","tag-health-welfare","tag-newborn-mothers-health-protection-act","tag-nmhpa","tag-whcra","tag-womens-health-and-cancer-rights-act"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>H&amp;W: Women\u2019s Health and Cancer Rights Act of 1988 (WHCRA) &amp; Newborn and Mothers Health Protection Act of 1996 (NMHPA) - 47 Blog | AFM Local 47<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/afm47.org\/press\/hw-womens-health-and-cancer-rights-act-of-1988-whcra-newborn-and-mothers-health-protection-act-of-1996-nmhpa\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H&amp;W: Women\u2019s Health and Cancer Rights Act of 1988 (WHCRA) &amp; Newborn and Mothers Health Protection Act of 1996 (NMHPA) - 47 Blog | AFM Local 47\" \/>\n<meta property=\"og:description\" content=\"Reconstructive Surgery Fully Covered After Mastectomy WOMEN\u2019S HEALTH AND CANCER RIGHTS ACT OF 1998 The Professional Musicians Local 47 and Employers Health and Welfare Fund (\u201cthe Fund\u201d) purchases health insurance benefits through Health Net of California and provides you with this notice as required by the Women\u2019s Health and Cancer Rights Act of 1988 (WHCRA). 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