Illinois § 4-16 Fibrocystic condition; denial of coverage

Illinois Statutes

§ 4-16 — Fibrocystic condition; denial of coverage

Illinois § 4-16

JurisdictionIllinois

TopicREGULATION

Ch. 215INSURANCE

Act 215 ILCS 125/Health Maintenance Organization Act.

Art.Article IV - Delivery Of Services - Required Provisions And Marketing

This text of Illinois § 4-16 (Fibrocystic condition; denial of coverage) is published on Counsel Stack Legal Research, covering Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

215 Ill. Comp. Stat. 4-16 (2026).

Text

No contract or evidence of coverage issued by a Health Maintenance Organization shall be denied by the Organization, nor shall any contract or evidence of coverage contain any exception or exclusion of benefits, solely because the enrollee has been diagnosed as having a fibrocystic breast condition, unless the condition is diagnosed by a breast biopsy that demonstrates an increased disposition to the development of breast cancer or unless the enrollee's medical history confirms a chronic, relapsing, symptomatic breast condition.

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No contract or evidence of coverage issued by a Health Maintenance Organization shall be denied by the Organization, nor shall any contract or evidence of coverage contain any exception or exclusion of benefits, solely because the enrollee has been diagnosed as having a fibrocystic breast condition, unless the condition is diagnosed by a breast biopsy that demonstrates an increased disposition to the development of breast cancer or unless the enrollee's medical history confirms a chronic, relapsing, symptomatic breast condition.