17B:26-2.1e - Individual health insurance policy, mammogram examination benefits - New Jersey Statutes

17B:26-2.1e  Individual health insurance policy, mammogram examination benefits.

4.No individual health insurance policy providing hospital or medical expense benefits shall be delivered, issued, executed or renewed in this State or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, unless the policy provides benefits to any named insured or other person covered thereunder for expenses incurred in conducting: one baseline mammogram examination for women who are at least 35 but less than 40 years of age; a mammogram examination every year for women age 40 and over; and, in the case of a woman who is under 40 years of age and has a family history of breast cancer or other breast cancer risk factors, a mammogram examination at such age and intervals as deemed medically necessary by the woman's health care provider. 

These benefits shall be provided to the same extent as for any other sickness under the policy. 

The provisions of this section shall apply to all policies in which the insurer has reserved the right to change the premium.

L.1991,c.279,s.4; amended 1999, c.341, s.4; 2004, c.86, s.4.