New Jersey A5195 requires health insurance coverage for coronary artery calcium screening for certain individuals.
New Jersey A5195 mandates that health insurance carriers cover coronary artery calcium screening for individuals who are 45 years of age or older or have an intermediate risk of developing coronary heart disease. The screening must be provided every five years unless a health care provider determines more frequent screening is necessary based on an underlying condition. The benefits are to be provided to the same extent as for any other medical condition under the policy. This applies to all health benefit plans and contracts in which the insurer has reserved the right to change the premium.
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