Okla. Stat. tit. 36, § 36-6060.8: Prostate cancer screening coverage
Where this section sits in the code
- OK Code
- Title 36
A. Any health benefit plan that is offered, issued or renewed
in this state on or after January 1, 2000, that provides coverage to
men forty (40) years of age or older in this state shall offer
coverage for annual screening for the early detection of prostate
cancer in men over the age of fifty (50) years and in men over the
age of forty (40) years who are in high-risk categories. The
coverage shall not be subject to policy deductibles. The coverage
shall not exceed the actual cost of the prostate cancer screening up
to a maximum of Sixty-five Dollars ($65.00) per screening.
B. The benefit required to be provided by subsection A of this
section shall in no way diminish or limit diagnostic benefits
otherwise allowable under a health benefit plan.
C. The prostate cancer screening coverage shall be offered as
follows:
1. The screening shall be performed by a qualified medical
professional including, but not limited to, a urologist, internist,
general practitioner, doctor of osteopathy, nurse practitioner, or
physician assistant;
2. The screening shall consist, at a minimum, of the following
tests:
a. a prostate-specific antigen blood test, and
b. a digital rectal examination;
3. At least one screening per year shall be covered for any man
fifty (50) years of age or older; and
4. At least one screening per year shall be covered for any man
from forty (40) to fifty (50) years of age who is at increased risk
of developing prostate cancer as determined by a physician.
D. As used in this section, “health benefit plan” means any
plan or arrangement as defined in subsection C of Section 6060.4 of
this title.
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