WAC "Life threatening condition" means any disease or condition from (4)(e) which the likelihood of death is probable unless the course of the disease or condition is interrupted. Colorectal Requirement for RCW Plan must provide coverage for colorectal cancer exams and lab tests Cancer Coverage 48.43.043(1) consistent with the A and B recommendations of the USPSTF or the Screening CDC. Coverage must be provided: RCW 48.43.043 For any of the colorectal screening exams and tests in the selected (1)(a); recommendations, at a frequency identified therein, as deemed Colorectal 48.43.043 appropriate by the patient's physician after consultation with the Cancer (1)(b)(i) patient; and To an enrollee who is: Screening At fifty years old; or (Cont’d) RCW Less than fifty years old and at high risk or very high risk for 48.43.043(1)(b)(ii) colorectal cancer according to such guidelines or recommendations. Burdensome RCW Plan design must not require patients and providers to meet Requirements 48.43.043(2) burdensome criteria or overcome significant obstacles to secure Prohibited such coverage. Enrollee may not be required to pay an additional deductible or coinsurance for testing greater than a deductible or
WAC (4)(e) "Life threatening condition" means any disease or condition from which the likelihood of death is probable unless the course of the disease or condition is interrupted. Colorectal Cancer Screening Colorectal Cancer Screening (Cont’d) Requirement for Coverage RCW 48.43.043(1) Plan must provide coverage for colorectal cancer exams and lab tests consistent with the A and B recommendations of the USPSTF or the CDC. Coverage must be provided: RCW 48.43.043 (1)(a); 48.43.043 (1)(b)(i) For any of the colorectal screening exams and tests in the selected recommendations, at a frequency identified therein, as deemed appropriate by the patient's physician after consultation with the patient; and To an enrollee who is: At fifty years old; or RCW 48.43.043(1)(b)(ii) Less than fifty years old and at high risk or very high risk for colorectal cancer according to such guidelines or recommendations. Burdensome Requirements Prohibited RCW 48.43.043(2) Plan design must not require patients and providers to meet burdensome criteria or overcome significant obstacles to secure such coverage. Enrollee may not be required to pay an additional deductible or coinsurance for testing greater than a deductible or
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