2005 Idaho Code - 41-4125 — MAMMOGRAPHY COVERAGE

                                  TITLE  41
                                  INSURANCE
                                  CHAPTER 41
              JOINT PUBLIC AGENCY SELF-FUNDED HEALTH CARE PLANS
    41-4125.  MAMMOGRAPHY COVERAGE. (1) From and after July 1, 2006, all joint
public agency self-funded plans 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.