Mammography Coverage

TITLE 41 INSURANCE CHAPTER 40 SELF-FUNDED HEALTH CARE PLANS 41-4025. Mammography coverage. (1) From and after July 1, 1992, all self-funded plans which provide coverage for the surgical procedure known as a mastectomy which are delivered, issued for delivery, continued or renewed in this state shall provide minimum mammography examination or equivalent examination coverage. Such coverage shall include at least the following benefits: (a)  One (1) baseline mammogram for any woman who is thirty-five (35) through thirty-nine (39) years of age. (b)  A mammogram every two (2) years for any woman who is forty (40) through forty-nine (49) years of age, or more frequently if recommended by the woman’s physician. (c)  A mammogram every year for any woman who is fifty (50) years of age or older. (d)  A mammogram for any woman desiring a mammogram for medical cause. Such coverage shall not exceed the cost of the examination. (2)  As used in this section, "mastectomy" means the removal of all or part of the breast for medically necessary reasons as determined by a licensed physician. (3)  Nothing in this section shall apply to specified accident, specified disease, hospital indemnity, medicare supplement, long-term care or other limited benefit health insurance policies.