§ 27-18-41 - Mammograms and pap smears – Coverage mandated.
SECTION 27-18-41
§ 27-18-41 Mammograms and pap smears– Coverage mandated. – (a) Every individual or group hospital or medical expense insurance policy orindividual or group hospital or medical services plan contract delivered,issued for delivery, or renewed in this state shall provide coverage formammograms and pap smears, in accordance with guidelines established by theAmerican Cancer Society.
(2) Notwithstanding the provisions of this chapter, everyindividual or group hospital or medical insurance policy or individual or grouphospital or medical services plan contract delivered, issued for delivery, orrenewed in this state shall pay for two (2) screening mammograms per year whenrecommended by a physician for women who have been treated for breast cancerwithin the last five (5) years or are at high risk of developing breast cancerdue to genetic predisposition (BRCA gene mutation or multiple first degreerelatives) or high risk lesion on prior biopsy (lobular carcinoma in situ) oratypical ductal hyperplasia.
(b) This section shall not apply to insurance coverageproviding benefits for: (1) hospital confinement indemnity; (2) disabilityincome; (3) accident only; (4) long term care; (5) Medicare supplement; (6)limited benefit health; (7) specified disease indemnity; (8) sickness or bodilyinjury or death by accident or both; and (9) other limited benefit policies.