38.2-3418.7 - Coverage for PSA testing.
§ 38.2-3418.7. Coverage for PSA testing.
A. Notwithstanding the provisions of § 38.2-3419, each insurer proposing toissue individual or group accident and sickness insurance policies providinghospital, medical and surgical, or major medical coverage on anexpense-incurred basis; each corporation providing individual or groupaccident and sickness subscription contracts; and each health maintenanceorganization providing a health care plan for health care services shallprovide coverage to (i) persons age fifty and over and (ii) persons age fortyand over who are at high risk for prostate cancer, according to the mostrecent published guidelines of the American Cancer Society, for one PSA testin a twelve-month period and digital rectal examinations, all in accordancewith American Cancer Society guidelines under any such policy, contract orplan delivered, issued for delivery or renewed in this Commonwealth on andafter July 1, 1998.
B. For the purpose of this section, "PSA testing" means the analysis of ablood sample to determine the level of prostate specific antigen.
C. The provisions of this section shall not apply to (i) short-term travel,accident only, limited or specified disease policies other than cancerpolicies, (ii) short-term nonrenewable policies of not more than six months'duration, or (iii) policies or contracts designed for issuance to personseligible for coverage under Title XVIII of the Social Security Act, known asMedicare, or any other similar coverage under state or federal governmentalplans.
(1998, cc. 709, 858.)