Montana Code Annotated
Part 1. General Provisions
33-22-132. Coverage for mammography examinations

33-22-132. Coverage for mammography examinations. (1) Each group or individual medical expense and blanket disability policy, certificate of insurance, and membership contract that is delivered, issued for delivery, renewed, extended, or modified in this state must provide minimum mammography examination coverage.
(2) For the purpose of this section, "minimum mammography examination" means:
(a) one baseline mammogram for a woman who is 35 years of age or older and under 40 years of age;
(b) a mammogram every 2 years for any woman who is 40 years of age or older and under 50 years of age or more frequently if recommended by the woman's physician; and
(c) a mammogram each year for a woman who is 50 years of age or older.
(3) A minimum $70 payment or the actual charge if the charge is less than $70 must be made for each mammography examination performed before the application of the terms of the applicable group or individual disability policy, certificate of insurance, or membership contract that establish durational limits, deductibles, and copayment provisions as long as the terms are not less favorable than for physical illness generally.
(4) This section does not apply to disability income, hospital indemnity, medicare supplement, accident-only, vision, dental, or specified disease policies.
History: En. Sec. 1, Ch. 663, L. 1991; amd. Sec. 29, Ch. 451, L. 1993; amd. Sec. 57, Ch. 379, L. 1995; amd. Sec. 17, Ch. 63, L. 2015.

Structure Montana Code Annotated

Montana Code Annotated

Title 33. Insurance and Insurance Companies

Chapter 22. Disability Insurance

Part 1. General Provisions

33-22-101. Exceptions to scope

33-22-102. Third-party ownership

33-22-103. Repealed

33-22-104. through 33-22-106 reserved

33-22-107. Premium increase restriction -- exception -- notice of rate increase and policy changes

33-22-108. reserved

33-22-109. Riders

33-22-110. Preexisting conditions

33-22-111. Policies and certificates to provide for freedom of choice of practitioners -- professional practice not enlarged

33-22-112. Disability insurance coverage of services of state institutions -- provision void -- rate of payment

33-22-113. Disability insurance coverage of persons eligible for public medical assistance

33-22-114. Coverage required for services provided by physician assistants, advanced practice registered nurses, and registered nurse first assistants

33-22-115. Provider agreement limited to covered services -- dental network constraints -- penalty -- definitions

33-22-116. Prohibition on coverage of abortion services in qualified health plans

33-22-117. Construction

33-22-118. through 33-22-120 reserved

33-22-121. Notice required for cancellation or refusal to renew

33-22-122. Contents of notice -- proof -- limitation on recovery -- exemptions

33-22-123. Return of unearned premium

33-22-124. reserved

33-22-125. Independent chiropractic physical examination or review of records

33-22-126. and 33-22-127 reserved

33-22-128. Coverage for children with hearing loss -- definitions

33-22-129. Coverage for outpatient self-management training and education for treatment of diabetes -- limited benefit for medically necessary equipment and supplies

33-22-130. Coverage for adopted children from time of placement -- preexisting conditions

33-22-131. Coverage for treatment of inborn errors of metabolism

33-22-132. Coverage for mammography examinations

33-22-133. Coverage for minimum hospital stay following childbirth

33-22-134. Postmastectomy care

33-22-135. Coverage for reconstructive breast surgery after mastectomy -- benefits and conditions

33-22-136. Insurance for spouse and dependents of deceased peace officer, game warden, or firefighter

33-22-137. Cost-sharing requirements -- applicability

33-22-138. Coverage for telehealth services -- rulemaking

33-22-139. Coverage of therapies for Down syndrome

33-22-140. Definitions

33-22-141. Crediting previous coverage

33-22-142. Certification of creditable coverage

33-22-143. Rules

33-22-144. through 33-22-149 reserved

33-22-150. Reciprocal limitations on claim filing and claim audits -- time limit for reimbursements or offsets -- exceptions

33-22-151. Offset agreement

33-22-152. Continuation of dependent coverage

33-22-153. Coverage of routine patient costs for participants in cancer clinical trials -- definitions -- limitations

33-22-154. and 33-22-155 reserved

33-22-156. Health insurance rates -- filing required -- use

33-22-157. Standards for review -- notice of deficiency

33-22-158. Trade secret disclosure exemption

33-22-159. Rulemaking

33-22-160. through 33-22-165 reserved

33-22-166. Repealed

33-22-167. through 33-22-169 reserved

33-22-170. Definitions

33-22-171. Maximum allowable cost list -- limitations on drugs

33-22-172. Maximum allowable cost or reference price list -- price formulation, updating, and disclosure -- exceptions

33-22-173. Maximum allowable cost -- appeals process

33-22-174. Opt-out of reference pricing -- notification

33-22-175. Allowable and prohibited fees on pharmacies

33-22-176. Limitation on copayments

33-22-177. Rights of pharmacies

33-22-178. and 33-22-179 reserved

33-22-180. Contract coverage -- nondiscrimination -- penalty