Page 5 - 2015 Advia CU Benefits & Notices
P. 5
Advia CU - MI 2015
Newborns’ & Mothers’ Health Protection
Group health plans may not, under federal law, restrict benefits for any hospital length of stay in
connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a
vaginal delivery, or less than ninety-six (96) hours following a cesarean section. Federal law does not
prohibit the mother’s or newborn’s attending provider, after consulting with the mother, from discharging
the mother or her newborn earlier than 48 hours (or 96 hours as applicable), if the patient consents.
Women’s Health & Cancer Rights Act (WHCRA)
Did you know that our medical plan, as required by the Women’s Health and
Cancer Rights Act of 1998 provides benefits for mastectomy-related services?
Coverage will be provided, as determined in consultation with your physician, for
the following procedures:
Reconstructive surgery for the affected breast
Surgery on the other breast to achieve symmetry
Prostheses
Treatment for complications from the mastectomy, including lymphedema
Benefits for these services and supplies are subject to the same deductible and coinsurance limitations
as for other services, supplies, and procedures that apply under the Advia CU BCBSM PPO plans or
BCN HMO Plans. For more information, please call BCBSM at 800.637.2227 or call BCN at
800.662.6667.
Protecting Your Privacy
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires employer health plans
to maintain the privacy of your health information. HIPAA also requires employers to provide employees
with a notice of the health plan’s legal duties and privacy practices with respect to your health
information. Please let Human Resources know if you would like a copy of our company’s Notice of
Privacy Practices.
Michelle’s Law
Effective November 1, 2010, if a full-time student engaged in a postsecondary education loses full-time
student status to a severe illness or injury, he/she will maintain dependent status until the earlier of (1)
one year after the first day of a medically necessary leave of absence; or (2) the date on which such
coverage would otherwise terminate under the terms of the plan. A medically necessary leave of
absence or change in enrollment at the institution must be certified by the dependent’s attending
physician.
Salus Group© Copyright 2014 Page | 5
Newborns’ & Mothers’ Health Protection
Group health plans may not, under federal law, restrict benefits for any hospital length of stay in
connection with childbirth for the mother or newborn child to less than forty-eight (48) hours following a
vaginal delivery, or less than ninety-six (96) hours following a cesarean section. Federal law does not
prohibit the mother’s or newborn’s attending provider, after consulting with the mother, from discharging
the mother or her newborn earlier than 48 hours (or 96 hours as applicable), if the patient consents.
Women’s Health & Cancer Rights Act (WHCRA)
Did you know that our medical plan, as required by the Women’s Health and
Cancer Rights Act of 1998 provides benefits for mastectomy-related services?
Coverage will be provided, as determined in consultation with your physician, for
the following procedures:
Reconstructive surgery for the affected breast
Surgery on the other breast to achieve symmetry
Prostheses
Treatment for complications from the mastectomy, including lymphedema
Benefits for these services and supplies are subject to the same deductible and coinsurance limitations
as for other services, supplies, and procedures that apply under the Advia CU BCBSM PPO plans or
BCN HMO Plans. For more information, please call BCBSM at 800.637.2227 or call BCN at
800.662.6667.
Protecting Your Privacy
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires employer health plans
to maintain the privacy of your health information. HIPAA also requires employers to provide employees
with a notice of the health plan’s legal duties and privacy practices with respect to your health
information. Please let Human Resources know if you would like a copy of our company’s Notice of
Privacy Practices.
Michelle’s Law
Effective November 1, 2010, if a full-time student engaged in a postsecondary education loses full-time
student status to a severe illness or injury, he/she will maintain dependent status until the earlier of (1)
one year after the first day of a medically necessary leave of absence; or (2) the date on which such
coverage would otherwise terminate under the terms of the plan. A medically necessary leave of
absence or change in enrollment at the institution must be certified by the dependent’s attending
physician.
Salus Group© Copyright 2014 Page | 5
