State RegulationsCO specificDifficulty 2/5
A Colorado man over 50 undergoes his annual prostate screening, which costs $90. Under C.R.S. § 10-16-104(10), how does his policy treat the charge?
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Answer & full 3-part explanation (select an option above, or peek)
Why C is correct
Under C.R.S. § 10-16-104(10), the annual prostate screening is not subject to deductibles, and the covered charge is capped at the lesser of $65 per screening or the actual charge. A $90 screening is therefore paid with no deductible, with the covered charge limited to $65 — a Colorado mandate that surprises producers who assume preventive care always flows through the deductible.
Why the other options are wrong
- A) No deductible may be applied to the prostate screening, and the $65 cap still limits the covered charge.
- B) The screening cannot be excluded; C.R.S. § 10-16-104(10) mandates annual coverage for men over 50.
- D) Payment is not unlimited; the statute caps the covered charge at the lesser of $65 or the actual charge.
Memory hook
No deductible, capped at $65 — the lesser of $65 or actual.