Maine Code § 24-A-2847-N

Coverage for colorectal cancer screening
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1. 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.
[PL 2019, c. 86, §4 (AMD); PL 2019, c. 86, §10 (AFF).]
2. Required coverage. All 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 [PL 2019, c. 86, §5 (AMD); PL 2019, c.
86, §10 (AFF).]
B. At high risk for colorectal cancer. [PL 2019, c. 86, §6 (AMD); PL 2019, c. 86, §10 (AFF).]
[PL 2019, c. 86, §§5, 6 (AMD); PL 2019, c. 86, §10 (AFF).]
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.
[PL 2007, c. 516, §3 (NEW); PL 2007, c. 516, §5 (AFF).]
REVISOR'S NOTE: §2847-N. Coverage for medically necessary infant formula (As enacted by PL
2007, c. 595, §3 is REALLOCATED TO TITLE 24-A, SECTION 2847-P)

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