HRS §431:10A-116.2
No referral needed for annual mammograms
Health insurers cannot make people 40 or older get a doctor's referral for an annual screening mammogram. If the mammogram shows more tests are needed, the insurer must send the patient to their chosen doctor for follow-up.
The statute, as written — Mammograms; referral not required
(a) For purposes of the annual screening mammogram coverage required under section 431:10A-116, no insurer shall require an insured person forty years of age and older to obtain a referral from a primary care provider or other physician for an annual screening mammogram. (b) If the screening mammogram indicates that follow up services are advisable, a referral shall be made to the patient's primary care physician or other physician, as designated by the patient.
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