ORS 743A.101 Supplemental or diagnostic breast examinations

As used in this section:

“Diagnostic breast examination” means an examination used to evaluate an abnormality of the breast that is detected or suspected from a screening examination for breast cancer or by any other means of examination using:

Diagnostic mammography;

Breast magnetic resonance imaging; or

Breast ultrasound.

“Supplemental breast examination” means an examination of the breast, such as breast magnetic resonance imaging or breast ultrasound, that is:

Used to screen for breast cancer when there is no abnormality seen or suspected; and

Based on personal or family medical history or other factors that increase an individual’s risk of breast cancer.

Except as provided in ORS 742.008, a carrier offering a group health benefit plan or an individual health benefit plan in this state that reimburses the cost of supplemental or diagnostic breast examinations may not impose on the coverage of a medically necessary supplemental or diagnostic breast examination:

A deductible;

Coinsurance;

A copayment; or

Other out-of-pocket expenses.