May an insurer require that the mammography examination be performed by certain health care providers?
Yes. An insurer may require that the examination be performed at the direction of a licensed physician or a nurse practitioner. However, an insurer also must provide coverage for an examination by low-dose mammography if all of the following conditions are met: • The woman does not have an assigned or regular physician or nurse practitioner when the examination is performed; • The woman designates a physician to receive the results of the examination; and • Any examination by low-dose mammography previously obtained by the woman was at the direction of a licensed physician or nurse practitioner. Does the mandate cover examinations performed by mobile units? The mandate will provide coverage for an examination performed by a mobile unit if the mobile unit administers a low-dose mammography examination and if the examination meets the conditions outlined in the previous question. What is a “nurse practitioner”? The law defines a “nurse practitioner” as a registered nurse who satisfies an
