Section 38a-518k - Mandatory coverage for colorectal cancer screening(a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or continued in this state shall provide coverage for colorectal cancer screening, including, but not limited to, (1) an annual fecal occult blood test, and (2) colonoscopy, flexible sigmoidoscopy or radiologic imaging, in accordance with the recommendations established by the American Cancer Society, based on the ages, family histories and frequencies provided in the recommendations. Except as specified in subsection (b) of this section, benefits under this section shall be subject to the same terms and conditions applicable to all other benefits under such policies.(b) No such policy shall impose: (1) A deductible for a procedure that a physician initially undertakes as a screening colonoscopy or a screening sigmoidoscopy; or(2) A coinsurance, copayment, deductible or other out-of-pocket expense for any additional colonoscopy ordered in a policy year by a physician for an insured. The provisions of this subdivision shall not apply to a high deductible health plan as that term is used in subsection (f) of section 38a-520.Conn. Gen. Stat. § 38a-518k
( P.A. 01-171, S. 21; P.A. 11-83, S. 2; P.A. 12-61, S. 2; 12-190, S. 2; P.A. 18-68, S. 17.)
Amended by P.A. 20-0004,S. 28 of the 2020 July Special Session, eff. 10/1/2020.Amended by P.A. 18-0068, S. 17 of the Connecticut Acts of the 2018 Regular Session, eff. 10/1/2018.Amended by P.A. 12-0190, S. 2 of the the 2012 Regular Session, eff. 1/1/2013.Amended by P.A. 12-0061, S. 2 of the the 2012 Regular Session, eff. 1/1/2013.Amended by P.A. 11-0083, S. 2 of the the 2011 Regular Session, eff. 1/1/2012. See Sec. 38a-472i for payment amount for professional services component of covered colonoscopy or endoscopy services. See Sec. 38a-492k for similar provisions re individual policies.