Idaho State Statutes - Idaho Attorney Directory

(1) From and after July 1, 1992, all group
subscriber's contracts 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.

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