Mastectomy coverage.
Utah Code § 31A-22-630
in effect31A-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:
(a) reconstruction of the breast on which the mastectomy has been performed;
(b) surgery and reconstruction of the breast on which the mastectomy was not performed to produce symmetrical appearance; and
(c) prostheses and physical complications with regards to all stages of mastectomy, including lymphedemas.
(2)
(a) 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.
(b) For purposes of this Subsection (2), cost-sharing measures include imposing a deductible or coinsurance requirement.
(3) Written notice of the availability of the coverage described in Subsection (1) shall be delivered to the participant:
(a) upon enrollment; and
(b) annually after the enrollment.
Amended by Chapter 116, 2001 General Session
Source: Utah Office of Legislative Research and General Counsel (le.utah.gov)URL: https://le.utah.gov/xcode/Title31A/Chapter22/31A-22-S630.html?v=C31A-22-S630_1800010118000101Fetched: 10/26/2026