(215 ILCS 125/4-16)
(from Ch. 111 1/2, par. 1409.9)
Fibrocystic condition; denial of coverage.
No contract or
evidence of coverage issued by a Health
Maintenance Organization shall be denied by the Organization,
nor shall any contract or evidence of coverage contain any exception or
exclusion of benefits, solely because the enrollee has been diagnosed as
having a fibrocystic breast condition, unless the condition is diagnosed by
breast biopsy that demonstrates an increased disposition to the development
of breast cancer or unless the enrollee's medical history confirms a
chronic, relapsing, symptomatic breast condition.
(Source: P.A. 87-519; 87-1066.)