Federal notices

As required by the Women’s Health and Cancer Rights Act of 1998, Benefits under the Policy are provided for mastectomy, including reconstruction and surgery to achieve symmetry between the breasts, prostheses, and complications resulting from a mastectomy (including lymphedema).

If you are receiving Benefits in connection with a mastectomy, Benefits are also provided for the following Covered Health Care Services, as you determine appropriate with your attending Physician:

• All stages of reconstruction of the breast on which the mastectomy was performed
• Surgery and reconstruction of the other breast to produce a symmetrical appearance
• Prostheses and treatment of physical complications of the mastectomy, including lymphedema

The amount you must pay for such Covered Health Care Services (including Co-payments, Co-insurance and any deductible) are the same as are required for any other Covered Health Care Service. Limitations on Benefits are the same as for any other Covered Health Care Service. 

Under Federal law, group health plans and health insurance issuers offering group health insurance coverage generally may not 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 delivery by cesarean section. However, the plan or issuer may pay for a shorter stay if the attending provider (e.g. your Physician, nurse midwife, or physician assistant), after consultation with the mother, discharges the mother or newborn earlier.

Also, under Federal law, plans and issuers may not set the level of Benefits or out-of-pocket costs so that any later portion of the 48-hour (or 96-hour) stay is treated in a manner less favorable to the mother or newborn than any earlier portion of the stay.

In addition, a plan or issuer may not, under Federal law, require that a Physician or other health care provider obtain authorization for prescribing a length of stay of up to 48 hours (or 96 hours). However, to use certain providers or facilities, or to reduce your out-of- pocket costs, you may be required to obtain prior authorization. For information on prior authorization, contact your issuer. 

United HealthCare Services, Inc. and/or its affiliated companies (collectively, “UnitedHealthcare”) strive to support the consumer service experience and is committed to complying with all applicable federal and state laws. It is the policy and intent of UnitedHealthcare to comply with all applicable Do Not Call (“DNC”) laws and regulations. This document sets forth UnitedHealthcare’s policy with regard to compliance with state and national do-not-call rules, and the establishment and maintenance of an internal do-not-call list (“IDNC”). 

UnitedHealthcare maintains a subscription to the National Do-Not-Call Registry (“NDNC”) in order to prevent the placement of any telemarketing calls (which for purposes of this Policy include text messages) to consumers properly registered on the NDNC. UnitedHealthcare indefinitely prohibits the placement of calls to any consumer properly registered on the NDNC, so long as the registration has not been cancelled by the consumer or removed by the NDNC administrator. This does not apply to consumers who have provided their prior express consent, or prior express written consent, as applicable, to be contacted.

UnitedHealthcare maintains a company-specific IDNC and will honor any request to be placed on the IDNC within a reasonable time of such request, not to exceed thirty (30) days from the date of such request. Each entry on the IDNC will be maintained for at least five (5) years or until the requestor makes a request to be removed from the IDNC or provides a new consent to be called. If a consumer changes their telephone number or adds an additional telephone number, it is their duty to provide UnitedHealthcare with their new telephone number to replace or supplement the phone number previously placed on the IDNC to prevent calls to that number.

If a consumer wishes to be added to UnitedHealthcare’s IDNC, they may do so by calling the number on the back of their health plan ID card or other member materials. Non-members can reach out via mail to Consumer Affairs at 9900 Bren Rd, Minnetonka, MN 55343.

Please note that UnitedHealthcare’s IDNC restricts calls from UnitedHealthcare only that are subject to the applicable federal and state laws, so consumers may continue to receive calls that are not subject to applicable federal and state laws, or from other companies that are not affiliated with UnitedHealthcare. Consumers should visit www.donotcall.gov to add their number to the NDNC.