§ 1902. Mandatory plan coverage
A health care insurer that offers, issues for delivery, delivers, executes, adjusts, uses, or renews a health care insurance plan shall provide coverage for the costs of telemedicine services and treatment that arc medically necessary.
§ 1801. Definitions
For the purposes of this subchapter the term, (1) “Children” means persons under the under eighteen years of age, or under twenty-one years of age if still attending high school. (2) “Hearing aid” means durable medical equipment that is of a design and circuitry to compensate for impaired human hearing and optimize audibility and listening […]
§ 1802. Coverage for hearing aid
(a) An individual or group health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in the Virgin Islands must provide coverage for a hearing aid and any related services for the full cost of one hearing aid per hearing-impaired ear up to $2,200 per ear, […]
§ 1803. Additional coverage; benefits included
(a) An insurer that delivers, issues for delivery or renews in the Virgin Islands an individual or group health insurance policy, health care plan or certificate of health insurance may make available to the policyholder the option of purchasing additional hearing aid coverage that exceeds the services described in this section. (b) Hearing aid coverage […]
§ 1804. Deductibles and coinsurance
Coverage for hearing aids may be subject to deductibles and coinsurance consistent with those imposed on other benefits under the same policy, plan or certificate.
§ 1805. Exclusions
This subchapter does not apply to short-term travel, accident-only or limited or specified disease policies.
§ 1732. Coverage for autism spectrum disorders
(a) After the effective date of this subchapter, a health care insurer that offers, issues for delivery, delivers, executes, adjusts, uses, or renews a health care insurance plan shall provide coverage for the costs of the diagnosis and treatment of autism spectrum disorders that are medically necessary and evidence-based. (b) Coverage required in health care […]
§ 1733. Prohibitions
A healthcare insurance plan must not impose: (1) any limits on the number of visits an insured may make to an autism services provider pursuant to a treatment plan on any basis other than a lack of medical necessity, or (2) a coinsurance, copayment, deductible or other out-of-pocket expense for such coverage which places a […]
§ 1734. Limitations; review of treatment plan; diagnosis period
(a) The insurer may limit the coverage in the insurance health care plan for behavioral therapy to a yearly benefit of $50,000 for a child who is younger than nine years of age, $35,000 for a child who is at least nine years of age but younger than thirteen years of age and $25,000 for […]
§ 1735. Obligation to pay
(a) This subchapter does not limit benefits that are otherwise available to an individual under a health benefit plan. (b) Nothing in this subchapter relieves an insurer from an otherwise valid obligation to provide or to pay for services provided to an individual with a disability.