Page 18 - Enrollment Guide 2023-24
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17 Required Notices
Required Notices Women’s Health and Cancer Rights
Act (WHCRA)
If you have had or are going to have a mastectomy,
you may be entitled to certain benefits under the
Women’s Health and Cancer Rights Act of 1998
(WHCRA). For individuals receiving mastectomy- If you or your dependents are already enrolled in
related benefits, coverage will be provided in Medicaid or CHIP, contact your State Medicaid or
a manner determined in consultation with the CHIP office.
attending physician and the patient, for:
If you or your dependents are NOT currently enrolled
• All stages of reconstruction of the breast on in Medicaid or CHIP, and you think you or any of your
which the mastectomy was performed; dependents might be eligible for these programs,
• Surgery and reconstruction of the other breast contact your State Medicaid or CHIP office or dial
produce a symmetrical appearance; 877-KIDS NOW or insurekidsnow.gov to find out
• Prostheses; and how to apply. If you qualify, ask your state if it has a
• Treatment of physical complications of the program that might help you pay the premiums for
mastectomy, including lymphedema. an employer-sponsored plan.
These benefits will be provided subject to the same If you or your dependents are eligible for premium
deductible and coinsurance applicable to other assistance under Medicaid or CHIP, as well as eligible
medical and surgical benefits provided under the under your employer plan, your employer must
plan. If you would like more information on WHCRA allow you to enroll in your employer plan if you
benefits, call Cigna at 800-244-6224. aren’t already enrolled. This is called a “special
enrollment” opportunity, and you must request
coverage within 60 days of being determined eligible
for premium assistance. If you have questions
about enrolling in your employer plan, contact the
Premium Assistance Under Medicaid Department of Labor at askebsa.dol.gov or call 866-
and the Children's Health Insurance 444-EBSA (3272).
Program (CHIP)
To see if your state has a premium assistance
program, or for more information on special
If you or your children are eligible for Medicaid or
CHIP and you’re eligible for health coverage from enrollment rights, contact either:
your employer, your state may have a premium
assistance program that can help pay for coverage, • U.S. Department of Labor
using funds from their Medicaid or CHIP programs. Employee Benefits Security Administration
If you or your children aren’t eligible for Medicaid dol.gov/agencies/ebsa
or CHIP, you won’t be eligible for these premium 866-444-EBSA (3272)
assistance programs but you may be able to buy
individual insurance coverage through the Health • U.S. Department of Health and Human Services
Insurance Marketplace. For more information, visit Centers for Medicare & Medicaid Services
healthcare.gov. cms.hhs.gov
877-267-2323, Menu Option 4, Ext. 61565
