HB4207 mandates health insurance coverage for coronary calcium scans every 36 months for individuals over 40, effective January 1, 2028.
HB4207 amends the Illinois Insurance Code to require health insurance policies to cover medically necessary coronary calcium scans and scoring every 36 months for individuals over the age of 40, effective January 1, 2028. The bill defines "coronary calcium scan and scoring" as the use of computed tomography to locate blockages or narrowing in coronary arteries. It also mandates that health maintenance organizations, limited health service organizations, and other entities provide post-mastectomy care benefits and comply with specific sections of the Illinois Insurance Code.
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