This bill mandates that health insurance carriers in New Jersey, including various types of service corporations and health maintenance organizations, provide coverage for coronary artery calcium screenings under specific conditions. The screenings are required for individuals who are either 45 years of age or older or have an intermediate risk of developing coronary heart disease, as assessed by a healthcare provider using an evidence-based algorithm. The bill stipulates that these screenings should be covered every five years, although more frequent screenings may be authorized by a healthcare provider based on individual health conditions.
The legislation applies to all relevant insurance contracts and policies issued or renewed after the bill's effective date. It ensures that the benefits for coronary artery calcium screenings are provided to the same extent as for any other medical condition covered under the respective contracts. This comprehensive approach aims to enhance preventive care for cardiovascular health among at-risk populations in New Jersey.