Update: New breast exam benefit begins December 1, 2024
According to an Alaska senate bill 134 update, a health plan carrier may not impose cost sharing for supplemental or diagnostic breast examinations. This change went into effect on December 1, 2024, or as groups renew.
For members on qualified high-deductible health plans, these supplemental and diagnostic services are covered pre-deductible at zero cost share starting December 1, 2024, per new IRS information.
This is an update to the information we shared in November 2024 stating members on qualified high-deductible health plans were subject to the minimum IRS deductible, then 0% coinsurance.
How the mandate is applied to Premera plans:
Funding type
SB 134 inclusion
Fully insured groups (including grandfathered plans)
Included
OptiFlex
Non-Preferred Choice plans may opt out
Self-funded
May opt in
Contact your Premera account representative for more information.