Illinois Compiled Statutes 215 ILCS 125/4-16 – Fibrocystic condition; denial of coverage
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Terms Used In Illinois Compiled Statutes 215 ILCS 125/4-16
- Contract: A legal written agreement that becomes binding when signed.
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
No contract or evidence of coverage issued by a Health Maintenance Organization shall be denied by the Organization, nor shall any contract or evidence of coverage contain any exception or exclusion of benefits, solely because the enrollee has been diagnosed as having a fibrocystic breast condition, unless the condition is diagnosed by a breast biopsy that demonstrates an increased disposition to the development of breast cancer or unless the enrollee’s medical history confirms a chronic, relapsing, symptomatic breast condition.