§ 27-18-41. Mammograms and pap smears — Coverage mandated.
(a)(1) Every individual or group hospital or medical expense insurance policy or individual
or group hospital or medical services plan contract delivered, issued for delivery,
or renewed in this state shall provide coverage for mammograms and pap smears, in
accordance with guidelines established by the American Cancer Society.
(2) Notwithstanding the provisions of this chapter, every individual or group hospital
or medical insurance policy or individual or group hospital or medical services plan
contract delivered, issued for delivery, or renewed i
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§ 27-18-41. Mammograms and pap smears — Coverage mandated.
(a)(1) Every individual or group hospital or medical expense insurance policy or individual
or group hospital or medical services plan contract delivered, issued for delivery,
or renewed in this state shall provide coverage for mammograms and pap smears, in
accordance with guidelines established by the American Cancer Society.
(2) Notwithstanding the provisions of this chapter, every individual or group hospital
or medical insurance policy or individual or group hospital or medical services plan
contract delivered, issued for delivery, or renewed in this state shall pay for:
(i) Two (2) screening mammograms per year when recommended by a physician for women who
have been treated for breast cancer within the last five (5) years or are at high
risk of developing breast cancer due to genetic predisposition (BRCA gene mutation
or multiple first-degree relatives) or high risk lesion on prior biopsy (lobular carcinoma
in situ) or atypical ductal hyperplasia; and
(ii) Any screening deemed medically necessary for proper breast cancer screening in accordance
with applicable American College of Radiology guidelines including, but not limited
to, magnetic resonance imaging, ultrasound, or molecular breast imaging for any person
who has received notice pursuant to § 23-12.9-2 of the existence of dense breast tissue.
(b) This section shall not apply to insurance coverage providing benefits for: (1) Hospital
confinement indemnity; (2) Disability income; (3) Accident only; (4) Long-term care;
(5) Medicare supplement; (6) Limited benefit health; (7) Specified disease indemnity;
(8) Sickness or bodily injury or death by accident or both; and (9) Other limited
benefit policies.