CommercialCoverageMedium impact
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UPMC Health Plan·PA · Radiology, OB-GYN, Family Medicine +1 more·Reimbursement
We identified it
Jun 20, 2026
Summary
Pennsylvania Act 1 of 2023 now requires insurance policies to cover all costs for one annual supplemental breast screening (MRI or ultrasound) for women at increased risk of breast cancer. The insurance company has released a commercial product billing guide to help providers comply with this new state law.
Action Required
Immediately: Review the commercial product billing guide for Pennsylvania Act 1 of 2023 compliance recommendations. Contact physician account executive or Provider Services at 1-866-918-1595 with questions. Billing team should update procedures for supplemental breast screening coverage for at-risk women in Pennsylvania.