Section 4254 - Coverage for colorectal cancer screening1.Colorectal cancer screening. For the purposes of this section, "colorectal cancer screening" means all colorectal cancer examinations and laboratory tests recommended by a health care provider in accordance with the most recently published colorectal cancer screening guidelines of a national cancer society. [2019, c. 86, §7(AMD).]
2.Required coverage. All health maintenance organization individual and group health insurance policies, contracts and certificates must provide coverage for colorectal cancer screening for asymptomatic individuals who are: A. At average risk for colorectal cancer according to the most recently published colorectal cancer screening guidelines of a national cancer society; or [2019, c. 86, §8(AMD).]B. At high risk for colorectal cancer. [2019, c. 86, §9(AMD).] [2019, c. 86, §§8, 9(AMD).]
3.Billing. If a colonoscopy is recommended by a health care provider as the colorectal cancer screening test in accordance with this section and a lesion is discovered and removed during that colonoscopy, the health care provider must bill the insurance company for a screening colonoscopy as the primary procedure. [2007, c. 516, §4(NEW); 2007, c. 516, §5(AFF).]
Amended by 2019, c. 86,§ 9, eff. 9/19/2019.Amended by 2019, c. 86,§ 8, eff. 9/19/2019.Amended by 2019, c. 86,§ 7, eff. 9/19/2019.2007, c. 516, § 4 (NEW) . 2007, c. 516, § 5 (AFF) . 2007, c. 595, § 4 (NEW) . 2007, c. 595, § 5 (AFF) . 2007, c. 695, Pt. C, §16 (RAL) .