Sec. 1575.159. COVERAGE FOR PROSTATE-SPECIFIC ANTIGEN TEST. A health benefit plan offered under the group program, other than a Medicare Advantage plan or a Medicare prescription drug plan, must provide coverage for a medically accepted prostate-specific antigen test used for the detection of prostate cancer for each male enrolled in the health benefit plan who:
(1) is at least 50 years of age; or
(2) is at least 40 years of age and:
(A) has a family history of prostate cancer; or
(B) exhibits another cancer risk factor.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 3, eff. June 1, 2003.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976), Sec. 13, eff. September 1, 2017.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle H - Health Benefits and Other Coverages for Governmental Employees
Chapter 1575 - Texas Public School Employees Group Benefits Program
Subchapter D. Coverages and Participation
Section 1575.151. Types of Coverages
Section 1575.152. Health Benefit Plan Must Cover Preexisting Conditions
Section 1575.153. Health Benefit Plan Coverage for Retirees
Section 1575.155. Coverage for Dependents of Retiree
Section 1575.156. Coverage for Surviving Spouse or Dependents of Surviving Spouse
Section 1575.157. Coverage for Surviving Dependent Child
Section 1575.158. Group Health Benefit Plans
Section 1575.1582. Eligibility for Group Health Benefit Plans
Section 1575.159. Coverage for Prostate-Specific Antigen Test
Section 1575.160. Group Life or Accidental Death and Dismemberment Insurance: Payment of Claim
Section 1575.161. Enrollment Periods
Section 1575.162. Special Enrollments
Section 1575.164. Disease Management Services
Section 1575.170. Prior Authorization for Certain Drugs
Section 1575.171. Emergency Care Payments
Section 1575.172. Out-of-Network Facility-Based Provider Payments
Section 1575.173. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments