So, if a plan pays 80% for hospital and surgery fees for an appendectomy (removal of the appendix), but only 70% of hospital and surgery fees for breast reconstruction, that would violate the WHCRA. The WHCRA does not allow insurance plans and insurance companies to kick people out of the plan or keep them from enrolling or renewing their coverage under the plan to avoid WHCRA requirements. The WHCRA does not allow insurance plans and insurance issuers to penalize doctors or lead them to provide care in a way that does not support the WHCRA.

federal law mandating comprehensive care of breast cancer patients-80

PDF This bill requires health insurers, nonprofit health service plans, and HMOs (carriers) to cover the cost of hair prostheses for individuals whose hair loss results from chemotherapy or radiation treatment for cancer. PDF Establishing a Tobacco Use Prevention and Cessation Program and a Cancer Prevention, Education, Screening, and Treatment Program in the Department of Health and Mental Hygiene; providing that the programs shall be funded as provided in the State budget with money from the Cigarette Restitution Fund; authorizing the Legislative Auditor to audit the appropriations and expenditures made for purposes of the programs; etc.

Requiring the Secretary of Health and Mental Hygiene to establish the Oral Health Program to prevent and detect oral cancer in the State with a specified focus and intent; targeting the program to the needs of high-risk underserved populations; requiring the Secretary to establish the Prevent Oral Cancer Pilot Program to screen, refer, and treat high-risk underserved adults; etc.

Prohibiting the manufacture, sale, or offer for sale of cigarettes in the State unless the cigarettes have been tested in a specified manner and meet a performance standard and the manufacturer has filed a specified certification with the Comptroller the human papillomavirus (HPV) vaccine subcommittee in the Cervical Cancer Committee of the Maryland Comprehensive Cancer Control Plan; providing for the membership and duties of the HPV vaccine subcommittee; requiring the HPV vaccine subcommittee to submit an annual report to the Cervical Cancer Committee by September 1; etc. the Charles County Prostate Cancer Pilot Program; providing for the purpose of the Program; providing for eligibility for the Program; requiring the Program to provide specified services and activities; requiring the Program to be funded as provided in the State budget; requiring the Department of Health and Mental Hygiene to distribute grants to local health departments to administer the Program; etc. the manufacture, sale, or offer for sale of cigarettes in the State unless the cigarettes have been tested in a specified manner and meet a performance standard and the manufacturer has filed a specified certification with the Comptroller; establishing a performance standard for cigarettes; requiring that testing of cigarettes be conducted in a specified manner; requiring laboratories that conduct testing to implement a specified quality control and quality assurance program; etc. specified insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for specified drugs and nicotine replacement therapy to assist an insured or enrollee to cease the use of tobacco products; prohibiting the insurers, nonprofit health service plans, and health maintenance organizations from imposing specified copayments or coinsurance requirements for specified drugs and nicotine replacement therapy; etc. a person engaged in the business of selling or distributing cigarettes from selling, shipping, or causing to be shipped cigarettes, ordered or purchased by mail or through a computer network, telephonic network, or other electronic network by a consumer or other unlicensed recipient, directly to a consumer or other unlicensed recipient in this State; allowing a licensed retailer or an employee of a licensed retailer to deliver no more than two cartons of cigarettes directly to a consumer; etc.

specified insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for a human papillomavirus screening test at the testing intervals outlined in specified recommendations developed by the American College of Obstetricians and Gynecologists; authorizing specified insurers, nonprofit health service plans, and health maintenance organizations to impose specified cost-sharing requirements under specified circumstances; defining specified terms; etc.

Co-insurance is when less than the full amount of the bill is paid by the insurance company and the patient must pay the difference.

For instance, the company may cover 80% of your expenses after you pay the deductible, leaving you to pay the other 20%. But any required deductible and co-insurance must be like those the plan uses for other conditions it covers.

This enrolled bill requires health insurers and health maintenance organizations to provide a baseline mammogram for women 35-39, a mammogram every two years for women 40-49, and an annual mammogram for women 50 years of age and older.

The following link possibly updates HB 407. law passed requiring the Maryland Department of Health and Mental Hygiene to provide all physicians who perform breast implantation in Maryland with a booklet that describes the advantages, disadvantages and risks associated with breast implantation.

PDF Requiring hospitals to offer mammography educational materials to female inpatients under specified circumstances; requiring the Department of Health and Mental Hygiene, in collaboration with other groups, to select and approve, or develop and print, and update as necessary, mammography educational materials. PDF​ For uninsured or underinsured women, who meet income guidelines and are Maryland residents, the State will pay for costs related to the diagnosis and treatment of breast and cervical cancer by specified providers.