HARRY HUGHES, Governor                                    1989

Article 48A - Insurance Code

468C.

(b) A Medicare supplement policy shall:

(1) IN THIS SECTION "LOW-DOSE MAMMOGRAPHY" MEANS
X-RAY EXAMINATION OF THE BREAST USING DEDICATED EQUIPMENT
INCLUDING X-RAY TUBE, FILTER, COMPRESSION DEVICE, SCREENS, FILMS,
AND CASSETTES SPECIFICALLY FOR MAMMOGRAPHY WITH AVERAGE RADIATION
EXPOSURE TO DELIVER LESS THAN 1 RAD MID-BREAST, 2 VIEWS PER
BREAST.

(1) Provide (2) A MEDICARE SUPPLEMENT POLICY SHALL

PROVIDE at least the following minimum benefits:

(i) Coverage of Medicare Part A eligible
expenses for the initial Medicare deductible for hospitalization

in any Medicare benefit period; and

(ii) Coverage of Medicare Part A eligible
expenses for hospitalization to the extent not covered by
Medicare from the sixty-first day through the ninetieth day in
any Medicare benefit period; and

(iii) To the extent not covered by Medicare,
coverage of Medicare Part A eligible expenses incurred as daily
hospital charges during use of the Medicare lifetime inpatient
hospital reserve days; and

(iv) After exhaustion of all Medicare inpatient
hospital coverage, including lifetime inpatient hospital reserve
days, coverage for a period of 365 days of 90 percent of all
Medicare Part A eligible expenses for hospitalization not covered
by Medicare; and

(v) Coverage in the amount of 20 percent of
Medicare eligible expenses under Medicare Part B, which coverage
may be limited to a maximum benefit in any calendar year of not
less than $5,000; and

(VI) COVERAGE OF AN ANNUAL MAMMOGRAPH FOR

DIAGNOSIS OF BREAST CANCER; AND.

(3) IN ADDITION TO THE COVERAGE SET FORTH IN
PARAGRAPH (2) OF THIS SUBSECTION, A MEDICARE SUPPLEMENT POLICY
SHALL:

(I) PROVIDE COVERAGE OF NOT MORE THAN $100 FOR
AN ANNUAL SCREENING BY LOW-DOSE MAMMOGRAPHY FOR THE PRESENCE OF
OCCULT BREAST CANCER; AND

(2) (II) Provide, or offer as an option, coverage
of the initial annual deductible for Medicare eligible expenses
under Medicare Part B.