<?xml version="1.0"?>
<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>71759</law_id><section_number>38.2-3418.7</section_number><catch_line>Coverage for prostate cancer screening</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>38.2-3406.1</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="38.2">Insurance</unit><unit label="chapter" level="2" order_by="1" identifier="34">Provisions Relating to Accident and Sickness Insurance</unit><unit label="article" level="3" order_by="1" identifier="2">Mandated Benefits</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> Notwithstanding the provisions of &#xA7; <a class="law" title="Additional mandated coverage made optional to group policy or contract holder" href="/38.2-3419/">38.2-3419</a>, each <span class="dictionary">insurer</span> proposing to <span class="dictionary">issue</span> individual or group accident and sickness <span class="dictionary">insurance policies</span> providing hospital, medical and surgical, or major medical coverage on an expense-incurred basis; each corporation providing individual or group accident and sickness subscription <span class="dictionary">contracts</span>; and each health maintenance organization providing a health care plan for health care services shall provide coverage to (i) <span class="dictionary">persons</span> age 50 and over and (ii) <span class="dictionary">persons</span> age 40 and over who are at high risk for prostate cancer, according to the most recent published guidelines of the American Cancer Society, for <span class="dictionary">prostate cancer screening</span> under any such policy, <span class="dictionary">contract</span>, or plan delivered, issued for delivery, or renewed in the Commonwealth on and after July 1, 1998. <a id="paragraph-258534" class="section-permalink" href="https://vacode.org/38.2-3418.7/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> For the purpose of this section, &#x201C;<span class="dictionary">prostate cancer screening</span>&#x201D; includes one prostate-specific antigen test in a 12-month period and digital rectal examinations. <a id="paragraph-258535" class="section-permalink" href="https://vacode.org/38.2-3418.7/#B"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> No <span class="dictionary">insurer</span>, corporation, or health maintenance organization shall impose on any <span class="dictionary">person</span> receiving benefits pursuant to this section any deductible, coinsurance, copayment, or other cost-sharing requirement, except to the extent that coverage without cost-sharing would disqualify a high-deductible health benefit plan from eligibility for a health savings account pursuant to 26 U.S.C. &#xA7; 223. <a id="paragraph-258536" class="section-permalink" href="https://vacode.org/38.2-3418.7/#C"><i class="fa fa-link"/></a></p></section>
						<section id="D"><p><span class="prefix-number">D.</span> The provisions of this section shall not apply to (i) short-term travel, accident only, limited or specified disease policies other than cancer policies, (ii) short-term nonrenewable policies of not more than six months&#x2019; duration, or (iii) policies or <span class="dictionary">contracts</span> designed for issuance to <span class="dictionary">persons</span> eligible for coverage under Title XVIII of the Social Security Act, known as <span class="dictionary">Medicare</span>, or any other similar coverage under <span class="dictionary">state</span> or federal governmental plans. <a id="paragraph-258537" class="section-permalink" href="https://vacode.org/38.2-3418.7/#D"><i class="fa fa-link"/></a></p></section></text><history>1998, cc. 709, 858; 2025, cc. 237, 246.</history><metadata></metadata></law>
