Texas Insurance Code 1356.005 – Coverage Required
Current as of: 2024 | Check for updates
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(a) A health benefit plan that provides coverage to a female who is 35 years of age or older must include coverage for an annual screening by all forms of low-dose mammography for the presence of occult breast cancer.
(a-1) A health benefit plan that provides coverage for a screening mammogram must provide coverage for diagnostic imaging that is no less favorable than the coverage for a screening mammogram.
(b) Coverage required by this section:
(1) may not be less favorable than coverage for other radiological examinations under the plan; and
(2) must be subject to the same dollar limits, deductibles, and coinsurance factors as coverage for other radiological examinations under the plan.