DEL INS Supplemental Breast Exams


On Apr. 16, DEL INS issued bulletin on diagnostic breast examinations.


  • DEL INS published Bulletin No. 145 for domestic and foreign insurers relating to supplemental breast screening examinations and diagnostic examinations.
  • Reminded insurers of enactment of bill HB 60 on Jul. 26, 2023, see rule #177223.
  • Bill added DEL INS 18-3552A, DEL INS 18-3370F, DEL INS 29-5217, DEL INS 31-532.
  • Coverage Requirements
  • Applies to all group, blanket, and individual health insurance policies, with specified exceptions, as well as the State employee healthcare plan and Medicaid.
  • After Dec. 31, 2024, all policies, contracts, or certificates issued, renewed, modified, altered, amended, or reissued, must incorporate coverage for such exams.
  • Coverage must be on terms at least as favorable as those for mammogram screenings.
  • DEL INS expects all filings for Plan Year 2025 to include such examinations coverage.
  • Also requests that insurers inform consumers of the availability of this coverage.

Regulators DEL INS
Entity Types CNSM; Ins
Reference Bul 145, 4/16/2024; Citation: *DEL INS* 18-3552A, 18-3370F, 29-5217, 31-532;
Functions Claims/Accelerated Benefits; Compliance; HR; Product Design; Reporting; Underwriting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 4/16/2024
Effective Date 12/31/2024
Rule Id 208701
Linked to Rule :177223
Reg. Last Update 4/16/2024
Report Section US Insurance

Last substantive update on 04/19/2024