Supplemental Breast Screening Examinations and Diagnostic Breast Examinations

NOTE: This Bulletin is intended solely for informational purposes. It is not intended to set forth legal rights, duties, or privileges, nor is it intended to provide legal advice. Readers should consult applicable statutes and rules and contact the Delaware Department of Insurance if additional information is needed. ♦INSURANCE.DELAWARE.GOV♦ 1351 W. NORTH ST., SUITE 101, DOVER, DELAWARE 19904 (302) 674-7300 DOVER♦ (302) 259-7554 GEORGETOWN♦ (302) 577-5280 WILMINGTON TRINIDAD NAVARRO COMMISSIONER STATE OF DELAWARE DEPARTMENT OF INSURANCE DOMESTIC AND FOREIGN INSURERS BULLETIN NO. 145 TO: ALL CARRIERS OFFERING HEALTH INSURANCE IN DELAWARE RE: SUPPLEMENTAL BREAST SCREENING EXAMINATIONS AND DIAGNOSTIC BREAST EXAMINATIONS DATED: April ____, 2024 This Bulletin reminds all health insurance carriers in Delaware that the Governor signed House Substitute No. 1 for House Bill No. 60 of the 152nd General Assembly (“the Act”) on July 26, 2023. The Act added the following sections to the Delaware Code: §§ 3552A and 3370F of Title 18, § 5217 of Title 29, and § 532 of Title 31. The Act covers all group, blanket, and individual health insurance policies (except specified accident, specified disease, hospital indemnity, Medicare supplement, long-term care, or other limited benefit health insurance policies), as well as the State employee healthcare plan and Medicaid. After December 31, 2024, all policies, contracts, or certificates issued, renewed, modified, altered, amended, or reissued, must incorporate coverage for diagnostic breast examinations and supplemental breast screening examinations on terms at least as favorable as those for mammogram screenings. Accordingly, the Department expects all filings for Plan Year 2025 to include such coverage and requests that insurers inform consumers of the availability of this coverage. Questions about this Bulletin should be emailed to compliance@delaware.gov. This Bulletin shall be effective immediately and shall remain in effect unless withdrawn or superseded by subsequent law, regulation or bulletin. ______________________________________ Trinidad Navarro Delaware Insurance Commissioner 16