31A-22-630. Mastectomy coverage.
(1) If an insured has coverage that provides medical and surgical benefits with respect to a mastectomy, it shall provide coverage, with consultation of the attending physician and the patient, for: reconstruction of the breast on which the mastectomy has been performed; surgery and reconstruction of the breast on which the mastectomy was not performed to produce symmetrical appearance; and prostheses and physical complications with regards to all stages of mastectomy, including lymphedemas.
(2) This section does not prevent an accident and health insurer from imposing cost-sharing measures for health benefits relating to this coverage, if cost-sharing measures are not greater than those imposed on any other medical condition. For purposes of this Subsection, cost-sharing measures include imposing a deductible or coinsurance requirement. (2)
(3) Written notice of the availability of the coverage described in Subsectionshall be delivered to the participant: (1) upon enrollment; and annually after the enrollment.