(1) A health insurance policy that covers hospital, medical or surgical expenses, other than coverage limited to expenses from accidents or specific diseases, shall provide coverage for a complete and thorough physical examination of the breast, including but not limited to a clinical breast examination, performed by a health care provider to check for lumps and other changes for the purpose of early detection and prevention of breast cancer as follows:

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

(a) Annually for individuals 18 years of age and older; and

(b) At any time at the recommendation of an individual’s health care provider.

(2) An insurance policy must provide coverage of physical examinations of the breast as described in subsection (1) of this section regardless of whether a health care provider performs other preventative health examinations or makes a referral for other preventative health examinations at the same time the health care provider performs the breast examination.

(3) This section applies to health care service contractors, as defined in ORS § 750.005, and trusts carrying out a multiple employer welfare arrangement, as defined in ORS § 750.301. [Formerly 743.791; 2017 c.152 § 7]

743A.108 was added to and made a part of the Insurance Code by legislative action but was not added to ORS Chapter 743A or any series therein. See Preface to Oregon Revised Statutes for further explanation.