Maine § 24-A §4237-A Coverage for screening mammograms and diagnostic and supplemental breast examinations

Maine Statutes

§ 24-A §4237-A — Coverage for screening mammograms and diagnostic and supplemental breast examinations

Maine·Title 24-A MAINE INSURANCE CODE·Ch. 56 HEALTH MAINTENANCE ORGANIZATIONS

1.Definition. 1-A. Definitions. For the purposes of this section, unless the context otherwise indicates, the following terms have the following meanings.

2.Required coverage. All individual and group coverage subject to this chapter must provide coverage for screening mammograms performed by providers that meet the standards established by the Department of Health and Human Services rules relating to radiation protection. The policies must reimburse for screening mammograms performed at least once a year for women 40 years of age and over. 2-A. No cost-sharing requirements. All individual and group coverage subject to this chapter may not impose any cost-sharing requirements on a screening mammogram, diagnostic breast examination or supplemental breast examination performed by a provide

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1.
Definition.
1-A.
Definitions.
For the purposes of this section, unless the context otherwise indicates, the following terms have the following meanings.
2.
Required coverage.
All individual and group coverage subject to this chapter must provide coverage for screening mammograms performed by providers that meet the standards established by the Department of Health and Human Services rules relating to radiation protection. The policies must reimburse for screening mammograms performed at least once a year for women 40 years of age and over.
2-A.
No cost-sharing requirements.
All individual and group coverage subject to this chapter may not impose any cost-sharing requirements on a screening mammogram, diagnostic breast examination or supplemental breast examination performed by a provider in accordance with this section. This subsection does not apply to individual or group coverage offered for use with a health savings account unless the federal Internal Revenue Service determines that the requirements in this subsection are permissible in a high deductible health plan as defined in the federal Internal Revenue Code, Section 223(c)(2).
3.
Application.
The requirements of this section apply to all individual and group policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State. For purposes of this section, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.

Maine § 24-A §4237-A (Coverage for screening mammograms and diagnostic and supplemental breast examinations) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

PL 1997, c. 408, §7 (NEW). PL 1997, c. 408, §8 (AFF). PL 2003, c. 517, §B25 (AMD). PL 2003, c. 689, §B6 (REV). PL 2007, c. 153, §3 (AMD). PL 2007, c. 153, §5 (AFF). PL 2023, c. 338, §§9-12 (AMD). PL 2023, c. 338, §13 (AFF).