The Women’s Health and Cancer Rights Act protects your right to breast reconstruction after mastectomy. Learn what’s covered and how patients can access these benefits.
Your Rights Under Federal Law
The Women’s Health and Cancer Rights Act (WHCRA), first passed in 1998, remains a vital protection for women today. This federal law requires group health plans and insurance providers that cover mastectomy procedures to also cover breast reconstruction and related services.
Insurers are required to notify patients annually of their rights under WHCRA. As of 2025, this ensures that patients undergoing mastectomy—whether for breast cancer treatment or prevention—are entitled to comprehensive reconstructive care.
What’s Covered Under WHCRA
Insurance coverage under this law must include:
- Reconstruction of the breast removed by mastectomy
- Surgery of the opposite breast if needed to achieve symmetry
- Prostheses (implants or external devices, if chosen)
- Treatment of complications from mastectomy, including lymphedema
Coverage Details :
Benefits are subject to the terms of your specific insurance plan, including:
- Deductibles
- Copayments
- Coinsurance
- Maximum benefit amounts and exclusions
It is essential to review your insurance documents carefully and speak with your provider to understand your coverage fully.
Why This Matters
Breast reconstruction is more than a cosmetic procedure—it is a crucial part of recovery for many women. It helps restore confidence, body balance, and emotional well-being after breast cancer treatment. Thanks to WHCRA, women across the U.S. continue to have federally protected rights to these procedures, ensuring that both medical necessity and emotional healing are acknowledged.