Lineco covers services provided to a covered person for a medically necessary mastectomy and for the post-surgical reconstruction of the affected breast. Lineco also considers charges for the following services and supplies to be covered medical expenses when the charges are incurred by a covered person who is receiving Plan benefits for a mastectomy, and when the person elects (in consultation with their physician) breast reconstruction in connection with the mastectomy:
Plan benefits payable for these services and supplies are subject to all applicable deductibles, payment percentages and maximum benefit limitations.