§ 23-79-1207 - Cost-sharing. - Arkansas Statutes

23-79-1207. Cost-sharing.

(a) To encourage colorectal cancer screenings, patients and health care providers may not be required to meet burdensome criteria or overcome significant obstacles to obtain coverage.

(b) An individual shall not be required to pay an additional deductible or coinsurance for testing that is greater than an annual deductible or coinsurance established for similar benefits.

(c) If the program or contract does not cover a similar benefit, a deductible or coinsurance may not be set at a level that materially diminishes the value of the colorectal cancer benefit required under this subchapter.

(d) Reimbursement to health care providers for colorectal cancer screenings provided under this section shall be equal to or greater than reimbursement to health care providers under Medicare, Title XVII of the Social Security Act, 42 U.S.C. 1395 et seq., as it existed on January 1, 2005.