Page 16 - 2020 Goodwill Benefits Guide
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Notice Regarding the Newborns’ and Mothers’ Health Protection Act
Women’s Health and Group health plans and health insurance issuers generally may not, under Federal
Cancer Rights Act law, restrict beneits 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,
If you have had or are going to have or less than 96 hours following a cesarean section. However, Federal law generally
a mastectomy, you may be entitled to does not prohibit the mother’s or newborn’s attending provider, after consulting
certain beneits under the Women’s with the mother, from discharging the mother or her newborn earlier than 48 hours
(or 96 hours as applicable). In any case, plans and insurers may not, under Federal
Health and Cancer Rights Act of 1998 law, require that a provider obtain authorization from the plan or the insurer for
(WHCRA). For individuals receiving prescribing a length of stay not more than 48 hours (or 96 hours).
mastectomy-related beneits, coverage
will be provided in a manner determined
in consultation with the attending Continuation Coverage Rights Under COBRA
physician and the patient, for: Introduction
All stages of reconstruction of the You’re getting this notice because you recently gained coverage under a group health
breast on which the mastectomy plan (the Plan). This notice has important information about your right to COBRA
was performed; continuation coverage, which is a temporary extension of coverage under the Plan.
Surgery and reconstruction of This notice explains COBRA continuation coverage, when it may become available to
the other breast to produce a you and your family, and what you need to do to protect your right to get it. When
symmetrical appearance; you become eligible for COBRA, you may also become eligible for other coverage
Prostheses; and options that may cost less than COBRA continuation coverage. The right to COBRA
Treatment of physical complications continuation coverage was created by a federal law, the Consolidated Omnibus Budget
Reconciliation Act of 1985 (COBRA). COBRA continuation coverage can become
of the mastectomy, including available to you and other members of your family when group health coverage would
lymphedema. otherwise end. For more information about your rights and obligations under the
These beneits will be provided subject Plan and under federal law, you should review the Plan’s Summary Plan Description
to the same deductibles and coinsurance or contact the Plan Administrator. You may have other options available to you when
applicable to other medical and surgical you lose group health coverage. For example, you may be eligible to buy an individual
beneits provided under this plan. If you plan through the Health Insurance Marketplace. By enrolling in coverage through the
would like more information on WHCRA Marketplace, you may qualify for lower costs on your monthly premiums and lower
beneits, contact your plan administrator. out-of-pocket costs. Additionally, you may qualify for a 30-day special enrollment
period for another group health plan for which you are eligible (such as a spouse’s
plan), even if that plan generally doesn’t accept late enrollees.
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Women’s Health and Group health plans and health insurance issuers generally may not, under Federal
Cancer Rights Act law, restrict beneits 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,
If you have had or are going to have or less than 96 hours following a cesarean section. However, Federal law generally
a mastectomy, you may be entitled to does not prohibit the mother’s or newborn’s attending provider, after consulting
certain beneits under the Women’s with the mother, from discharging the mother or her newborn earlier than 48 hours
(or 96 hours as applicable). In any case, plans and insurers may not, under Federal
Health and Cancer Rights Act of 1998 law, require that a provider obtain authorization from the plan or the insurer for
(WHCRA). For individuals receiving prescribing a length of stay not more than 48 hours (or 96 hours).
mastectomy-related beneits, coverage
will be provided in a manner determined
in consultation with the attending Continuation Coverage Rights Under COBRA
physician and the patient, for: Introduction
All stages of reconstruction of the You’re getting this notice because you recently gained coverage under a group health
breast on which the mastectomy plan (the Plan). This notice has important information about your right to COBRA
was performed; continuation coverage, which is a temporary extension of coverage under the Plan.
Surgery and reconstruction of This notice explains COBRA continuation coverage, when it may become available to
the other breast to produce a you and your family, and what you need to do to protect your right to get it. When
symmetrical appearance; you become eligible for COBRA, you may also become eligible for other coverage
Prostheses; and options that may cost less than COBRA continuation coverage. The right to COBRA
Treatment of physical complications continuation coverage was created by a federal law, the Consolidated Omnibus Budget
Reconciliation Act of 1985 (COBRA). COBRA continuation coverage can become
of the mastectomy, including available to you and other members of your family when group health coverage would
lymphedema. otherwise end. For more information about your rights and obligations under the
These beneits will be provided subject Plan and under federal law, you should review the Plan’s Summary Plan Description
to the same deductibles and coinsurance or contact the Plan Administrator. You may have other options available to you when
applicable to other medical and surgical you lose group health coverage. For example, you may be eligible to buy an individual
beneits provided under this plan. If you plan through the Health Insurance Marketplace. By enrolling in coverage through the
would like more information on WHCRA Marketplace, you may qualify for lower costs on your monthly premiums and lower
beneits, contact your plan administrator. out-of-pocket costs. Additionally, you may qualify for a 30-day special enrollment
period for another group health plan for which you are eligible (such as a spouse’s
plan), even if that plan generally doesn’t accept late enrollees.
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