GroundRules
← Search the law
Oregon · Through 2025 Edition

ORS 743A.101: Supplemental or diagnostic breast examinations.

Read at publisher ↗
Where this section sits in the code
  1. 18 - Financial Institutions, Insurance
  2. 56. Insurance
  3. Chapter 743A — Health Insurance: Reimbursement of Claims

(1) As used in this section:

      (a) “Diagnostic breast examination” means an examination used to evaluate an abnormality of the breast that is detected or suspected from a screening examination for breast cancer or by any other means of examination using:

      (A) Diagnostic mammography;

      (B) Breast magnetic resonance imaging; or

      (C) Breast ultrasound.

      (b) “Supplemental breast examination” means an examination of the breast, such as breast magnetic resonance imaging or breast ultrasound, that is:

      (A) Used to screen for breast cancer when there is no abnormality seen or suspected; and

      (B) Based on personal or family medical history or other factors that increase an individual’s risk of breast cancer.

      (2) Except as provided in ORS 742.008, a carrier offering a group health benefit plan or an individual health benefit plan in this state that reimburses the cost of supplemental or diagnostic breast examinations may not impose on the coverage of a medically necessary supplemental or diagnostic breast examination:

      (a) A deductible;

      (b) Coinsurance;

      (c) A copayment; or

      (d) Other out-of-pocket expenses.

Collected 2026-09-03T23:50:17Z. Source file · JSON

Browse this collection