Understanding WHCRA

WHCRA (Women’s Health and Cancer Rights Act of 1998) is a Federal law that is administered by the U.S. Departments of Labor and Health and Human Services. It was established in 1998 to provide certain coverage and rights to breast cancer patients. To put it simply, WHCRA states that if your health plan allows coverage of mastectomies, they are required to cover most reconstructive and post-mastectomy complications. They are also required annually to provide you with a notice stating the above information.

Under WHCRA, all 4 stages of reconstruction of the breast must be covered. This includes the breast that the mastectomy was performed on as well as the opposite breast even if it was unaffected by cancer. They want to ensure that you can have a symmetrical appearance for both of your breasts.  At some point during the reconstruction you may need a breast prosthesis. This is also included under the law. Last but not least, it clearly states that you can seek treatment for lymphedema or any other complication that you have had due to having the mastectomy.

 Most employers and health plans are aware of this law and follow guidelines set by the Federal Government. However, if you feel that you are being treated unfairly under this Act, please contact your health plan administrator. If you need more information on WHCRA you can call the Department of Labor at 1-866-444-3272.

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