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§ 23-79-1207. Cost-sharing

AR Code § 23-79-1207 (2018) (N/A)
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(a) To encourage colorectal cancer screenings, patients and healthcare providers may not be required to meet burdensome criteria or overcome significant obstacles to obtain coverage.

(b) An individual shall not be required to pay an additional deductible or coinsurance for testing that is greater than an annual deductible or coinsurance established for similar benefits.

(c) If the program or contract does not cover a similar benefit, a deductible or coinsurance may not be set at a level that materially diminishes the value of the colorectal cancer benefit required under this subchapter.

(d) Reimbursement to healthcare providers for colorectal cancer screenings provided under this section shall be equal to or greater than reimbursement to healthcare providers under Medicare, Title XVII of the Social Security Act, 42 U.S.C. § 1395 et seq., as it existed on January 1, 2005.

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