Required Mammography Coverage

On May 23, 2018, Gov. Edwards signed HB 460 into law, creating Act No. 494. This law requires plans to provide coverage for minimum mammography examination. Specifically, plans must allow mammographic examinations, including digital breast tomosynthesis. These examinations must be allowed as follows:

  • Female participants who are age 35 to 39 must be allowed one baseline mammogram
  • Female participants who are age 40 to 49 must be allowed one mammogram every 24 months, or more frequently if recommended by the participant’s physician
  • Female participants who are age 50 and older must be allowed one annual mammogram

Plans cannot apply deductibles to mammography, and participants don’t need a referral from a physician to receive their mammogram.

Although the insurance carriers will implement this law, employers should be aware of the change. The law is effective Jan. 1, 2019.

Act No. 494 »