State RegulationsCO specificDifficulty 1/5
Under Colorado's mandated prostate screening benefit, an annual covered screening for a man over 50 is subject to no deductible and is capped at what amount?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
C.R.S. § 10-16-104(10) requires coverage of annual prostate cancer screening for men over 50 (over 40 in high-risk categories), including the PSA blood test and a digital rectal exam. The benefit is not subject to deductibles, and the covered charge is capped at the LESSER of $65 per screening or the actual charge. A producer quoting this benefit should warn clients that charges above $65 may be the patient's responsibility.
Why the other options are wrong
- B) $75 does not appear in the Colorado mandate; the statutory cap is $65 per screening.
- C) $95 is not a verified Colorado screening cap; the correct figure is $65.
- D) $100 exceeds the statutory cap; C.R.S. § 10-16-104(10) sets the maximum at $65 per screening.
Memory hook
Prostate screen: over 50, no deductible, capped at $65 — PSA plus the exam.