49 3) prostheses ; and 4) treatment of physical complications for all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the patient. This Plan complies with these requirements. Benefits for these items generally are comparable to those provided under this Plan for similar types of medical services and supplies. Of course, the extent to which any of these items is appropriate following mastectomy is a matter to be determined by consultation between the attending physician and the patient. The Plan neither imposes penalties (for example, reducing or limiting reimbursements) nor provides incentives to induce attending providers to provide care inconsistent with these requirements . Patient Protection and Affordable Care Act Notice If a Health Benefit P rogra m is not exempt under ERISA § 732 from the requirements of Title I of the Patient Protection and Affordable Care Act of 2010, the Health Benefit P rogr am shall be operated in accordance with such requirements. If the Plan s and issuers require or allow for the designation of primary care providers b y participants or beneficiaries : Employer ’ s medical plan requires/allows the designation of a primary care provider. You have the right to designate any primary care provider who participates in our network and who is available to accep t you or your family members. If the Plan or health insurance coverage designates a primary c are provider automatically, u n til you make this designation, the G roup H ealth P lan or health insurance issuer will designate one for you. For information on how to select a primary care provider, and for a list of the participating prima ry car e providers, contact the Plan A dministrator or issuer. If the Plan s and issuers require or allow for the designation of a primary care provider for a child ; you may designate a pediatrician as the primary care provider. If the Plan s and issuers that provide coverage for obstetric or gynecological care and require the designation by a participant or beneficiary of a primary care provider : You do not need prior authorization from the Group Health Plan or from any other person (including a primary care provider) in order to obtain access to obstetrical or gynecological care from a health care professional in our network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre - approved treatment plan, or procedures for making referrals. For a list of participating health care professionals who special ize in obstetr ics or gynecology, contact the Plan A dministra tor or issuer.