Utah § 31A-22-630 Mastectomy coverage.

Utah Statutes

§ 31A-22-630 — Mastectomy coverage.

Utah § 31A-22-630

Title 31AInsurance Code

Ch. 31A-22Contracts in Specific Lines

Part 31A-22-6Accident and Health Insurance

This text of Utah § 31A-22-630 (Mastectomy coverage.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-22-630 (2026).

Text

(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:

(1)(a) reconstruction of the breast on which the mastectomy has been performed;

(1)(b) surgery and reconstruction of the breast on which the mastectomy was not performed to produce symmetrical appearance; and

(1)(c) prostheses and physical complications with regards to all stages of mastectomy, including lymphedemas.

(2)(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.

(2)(b) For purposes of this Subsec

Free access — add to your briefcase to read the full text and ask questions with AI

(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:

(1)(a) reconstruction of the breast on which the mastectomy has been performed;
(1)(b) surgery and reconstruction of the breast on which the mastectomy was not performed to produce symmetrical appearance; and
(1)(c) prostheses and physical complications with regards to all stages of mastectomy, including lymphedemas.
(2) (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.
(2)(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:

(3)(a) upon enrollment; and
(3)(b) annually after the enrollment.