(1) Each health
maintenance agreement issued or renewed after December 31, 2006,
that provides coverage for hospital or medical expenses shall
provide coverage for prostate cancer screening, provided that the
screening is delivered upon the recommendation of the patient's
physician, advanced registered nurse practitioner, or physician
assistant.
(2) All services must be provided by the health maintenance
organization or rendered upon a referral by the health
maintenance organization.
(3) This section shall not be construed to prevent the
application of standard policy provisions applicable to other
benefits, such as deductible or copayment provisions. This
section does not limit the authority of a health maintenance
organization to negotiate rates and contract with specific
providers for the delivery of prostate cancer screening services.
This section shall not apply to medicare supplemental policies or
supplemental contracts covering a specified disease or other
limited benefits.
[2006 c 367 § 5.]