Idaho Code
Chapter 22 - GROUP AND BLANKET DISABILITY INSURANCE
Section 41-2218 - MAMMOGRAPHY COVERAGE.

41-2218. MAMMOGRAPHY COVERAGE. (1) From and after July 1, 1992, all group or blanket disability insurance policies which provide coverage for the surgical procedure known as a mastectomy which are delivered, issued for delivery, continued or renewed in this state shall provide minimum mammography examination or equivalent examination coverage. Such coverage shall include at least the following benefits:
(a) One (1) baseline mammogram for any woman who is thirty-five (35) through thirty-nine (39) years of age.
(b) A mammogram every two (2) years for any woman who is forty (40) through forty-nine (49) years of age, or more frequently if recommended by the woman’s physician.
(c) A mammogram every year for any woman who is fifty (50) years of age or older.
(d) A mammogram for any woman desiring a mammogram for medical cause.
Such coverage shall not exceed the cost of the examination.
(2) As used in this section, "mastectomy" means the removal of all or part of the breast for medically necessary reasons as determined by a licensed physician.
(3) Nothing in this section shall apply to specified accident, specified disease, hospital indemnity, medicare supplement, long-term care or other limited benefit health insurance policies.

History:
[41-2218, added 1992, ch. 132, sec. 2, p. 414; am. 1993, ch. 113, sec. 2, p. 289.]

Structure Idaho Code

Idaho Code

Title 41 - INSURANCE

Chapter 22 - GROUP AND BLANKET DISABILITY INSURANCE

Section 41-2201 - SCOPE OF CHAPTER — SHORT TITLE.

Section 41-2202 - “GROUP DISABILITY INSURANCE” DEFINED — ELIGIBLE GROUPS.

Section 41-2203 - REQUIRED PROVISIONS IN GROUP POLICIES.

Section 41-2204 - DIRECT PAYMENT OF HOSPITAL AND MEDICAL SERVICES.

Section 41-2205 - READJUSTMENT OF PREMIUMS — DIVIDENDS.

Section 41-2206 - “BLANKET DISABILITY INSURANCE” DEFINED.

Section 41-2207 - REQUIRED PROVISIONS IN BLANKET POLICIES.

Section 41-2208 - APPLICATION AND CERTIFICATES NOT REQUIRED.

Section 41-2209 - PAYMENT OF BENEFITS UNDER BLANKET POLICY.

Section 41-2210 - REQUIRED PROVISION IN GROUP AND BLANKET POLICIES.

Section 41-2210A - LIMITATION OF BENEFITS FOR ELECTIVE ABORTIONS.

Section 41-2210D - CONVERSION PLAN — WHEN REQUIRED.

Section 41-2211 - SCOPE OF ACT — REPLACEMENT OF GROUP DISABILITY INSURANCE, GROUP NONPROFIT HOSPITAL AND MEDICAL SERVICE CONTRACTS AND HEALTH CARE SERVICE PLANS.

Section 41-2212 - DEFINITIONS.

Section 41-2213 - POLICY STANDARDS — DISABLED INDIVIDUALS.

Section 41-2214 - POLICY STANDARDS — MATERNITY BENEFITS.

Section 41-2215 - POLICY STANDARDS — REPLACEMENT CONTRACTS.

Section 41-2216 - COORDINATION OF BENEFITS — COORDINATION WITH SOCIAL SECURITY BENEFITS.

Section 41-2217 - SERVICES PROVIDED BY GOVERNMENTAL ENTITIES.

Section 41-2218 - MAMMOGRAPHY COVERAGE.

Section 41-2220 - COVERAGE PROVIDED TO PERSONS HAVING INSURANCE.

Section 41-2221 - CREDITING OF PREEXISTING CONDITION WAITING PERIOD.

Section 41-2223 - RENEWABILITY OF COVERAGE.