SEARCH SITE
VIRGINIA LAW PORTAL
- Code of Virginia
- Virginia Administrative Code
- Constitution of Virginia
- Charters
- Authorities
- Compacts
- Uncodified Acts
- RIS Users (account required)
SEARCHABLE DATABASES
- Bills & Resolutions
session legislation - Bill Summaries
session summaries - Reports to the General Assembly
House and Senate documents - Legislative Liaisons
State agency contacts
ACROSS SESSIONS
- Subject Index: Since 1995
- Bills & Resolutions: Since 1994
- Summaries: Since 1994
Developed and maintained by the Division of Legislative Automated Systems.
2002 SESSION
024091828Be it enacted by the General Assembly of Virginia:
1. That § 38.2-3418.4 of the Code of Virginia is amended and reenacted as follows:
§ 38.2-3418.4. Coverage for reconstructive breast surgery.
A. Notwithstanding the provisions of § 38.2-3419, each insurer proposing to
issue individual or group accident and sickness insurance policies providing
hospital, medical and surgical, or major medical coverage on an expense-incurred
basis; each corporation providing individual or group accident and sickness
subscription contracts; and each health maintenance organization providing a
health care plan for health care services shall provide coverage for
reconstructive breast surgery under such policy, contract or plan delivered,
issued for delivery or renewed in this Commonwealth on or after July 1, 1998.
B. The reimbursement for reconstructive breast surgery shall be determined according to the same formula by which charges are developed for other medical and surgical procedures. Such coverage shall have durational limits, dollar limits, deductibles and coinsurance factors that are no less favorable than for physical illness generally.
C. For purposes of this section, "mastectomy" means the surgical removal of all
or part of the breast as a result of breast cancer and "reconstructive breast
surgery" means surgery performed on or after July 1, 1998, (i) coincident with
a mastectomy performed for breast cancer or (ii) following a mastectomy performed
on or after July 1, 1998, for breast cancer to reestablish symmetry
between the two breasts.
D. The provisions of this section shall not apply to short-term travel, accident only, limited or specified disease policies (except policies issued for cancer), policies or contracts designed for issuance to persons eligible for coverage under Title XVIII of the Social Security Act, known as Medicare, or any other similar coverage under state or federal governmental plans or to short-term nonrenewable policies of not more than six months' duration.