The Women's Health and Cancer Rights Act

In accordance with the Women’s Health and Cancer Rights Act, this Plan covers the following procedures for a person receiving benefits for an appropriate mastectomy:

• Reconstruction of the breast on which a mastectomy has been performed
• Surgery and reconstruction of the other breast to create a symmetrical appearance
• Prostheses
• Treatment of physical complications of all stages of mastectomy, including lymphedemas

This coverage will be provided in consultation with the attending physician and the patient, and will be subject to the same annual deductibles and coinsurance provisions that apply to the mastectomy. For answers to questions about the plan’s coverage of mastectomies and reconstructive surgery, call Aetna’s Member Services at the number shown on your ID card.