§ 83-9-33. Coverage for newly born children
All individual and group health insurance policies providing coverage on an expense incurred basis and individual and group service or indemnity type contracts issued after January 1, 1980, by an insurer or nonprofit corporation which provides coverage for a family member of the insured or subscriber shall, as to such family members’ coverage, also provide […]
§ 83-9-34. Child immunizations; optional coverage; written acceptance or rejection; application of section
In this section, “health benefit plan” means a plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident or sickness and that is offered by any insurance company, group hospital service corporation or health maintenance organization that delivers or issues for delivery an individual, group, blanket or […]
§ 83-9-35. Replacement of group or blanket health and accident policy or plan; succeeding carrier’s plan to continue certain benefits and provisions
This section shall apply to any health benefit plan that provides coverage to two (2) or more employees of an employer in this state if any of the following conditions are satisfied: Any portion of the premium or benefits is paid by or on behalf of the employer; An eligible employee or dependent is reimbursed, […]
§ 83-9-36. Process by which prescribing practitioner may request override of restriction on medication restricted for use by insurer step therapy or fail-first protocol; circumstances under which insurer to grant override
When medications for the treatment of any medical condition are restricted for use by an insurer by a step therapy or fail-first protocol, the prescribing practitioner shall have access to a clear and convenient process to expeditiously request an override of that restriction from the insurer.An override of that restriction shall be expeditiously granted by […]
§ 83-9-31. Alcoholism care and treatment; limitation of coverage
The coverage required under Section 83-9-27 shall not exceed One Thousand Dollars ($1,000.00) during any calendar year, and shall extend only to treatment and services rendered by a physician and hospitals licensed by the state wherein the service or hospitalization is rendered.
§ 83-9-32. Coverage for medical benefits when dental care provided under physician-supervised anesthesia
Every hospital, health or medical expenses insurance policy, hospital or medical service contract, health maintenance organization and preferred provider organization that is delivered or issued for delivery in this state and otherwise provides anesthesia benefits shall offer benefits for anesthesia and for associated facility charges when the mental or physical condition of the child or […]
§ 83-9-21. Judicial review
Any order or decision of the commissioner under Sections 83-9-1 through 83-9-21 shall be subject to review by appeal (writ of certiorari) to the circuit court at the instance of any party in interest. The filing of the appeal (petition for such writ) shall operate as a stay of any such order or decision until […]
§ 83-9-22. Health coverage plans prohibited from restricting coverage for medically appropriate treatment prescribed by physician based on insured’s diagnosis with terminal condition
Notwithstanding any other provision of the law to the contrary, no health coverage plan shall restrict coverage for medically appropriate treatment prescribed by a physician and agreed to by a fully informed insured, or if the insured lacks legal capacity to consent by a person who has legal authority to consent on his or her […]
§ 83-9-23. Health and accident insurance for resident senior citizens
Any insurance company authorized to do business of health insurance in this state may join with one or more other such insurance companies to offer to any resident of this state who is sixty-five (65) years of age or older, and to the spouse of such resident, insurance against major financial loss from accident or […]
§ 83-9-24. Prohibition against requiring higher co-payment, coinsurance, etc., for patient-administered anti-cancer medications than is required for anti-cancer medications injected or intravenously administered by health care provider
As used in this section, the following terms shall be defined as provided in this subsection: “Anti-cancer medication” means drugs and biologics that are used to kill, slow, or prevent the growth of cancerous cells. “Health plan or policy” means any hospital, health or medical expense insurance policy, hospital or medical service contract, employee welfare […]