Section 743A.250 – Emergency eye care services.
(1) As used in this section: (a) “Eye care practitioner” means an optometrist or ophthalmologist licensed by the State of Oregon. (b) “Eye care services” means health care services related to the care of the eye and related structures as specified by a health benefit plan. (c) “Health benefit plan” has the meaning provided for […]
Section 743A.124 – Colorectal cancer screenings and laboratory tests.
(1) A health benefit plan, as defined in ORS 743B.005, shall provide coverage for all colorectal cancer screening examinations and laboratory tests assigned either a grade of A or a grade of B by the United States Preventive Services Task Force. (2) If an insured is 50 years of age or older, an insurer may […]
Section 743A.252 – Child abuse assessments.
(1) As used in this section: (a) “Child abuse assessment” has the meaning given that term in ORS 418.782. (b) “Children’s advocacy center” has the meaning given that term in ORS 418.782. (c) “Forensic interview” has the meaning given that term in ORS 418.782. (d) “Health benefit plan” has the meaning given that term in […]
Section 743A.130 – Proton beam therapy.
(1) A health benefit plan, as defined in ORS 743B.005, that provides coverage of radiation therapy for the treatment of prostate cancer must provide coverage for proton beam therapy for the treatment of prostate cancer on a basis no less favorable than the coverage of radiation therapy. (2) The coverage of proton beam therapy under […]
Section 743A.260 – Inmates.
(1) As used in this section: (a) “Detainee” means an insured who is: (A) In the custody of a local supervisory authority pending the disposition of charges; or (B) In a detention facility pending final adjudication by a juvenile court. (b) “Detention facility” has the meaning given that term in ORS 419A.004. (c) “Health benefit […]
Section 743A.140 – Bilateral cochlear implants.
(1) A health benefit plan, as defined in ORS 743B.005, shall reimburse the cost of: (a) Bilateral cochlear implants if medically appropriate for the treatment of hearing loss; and (b) Programming and reprogramming cochlear implants. (2) For purposes of ORS 746.230, a reasonable investigation of a claim for bilateral cochlear implants must include a request […]
Section 743A.262 – Preventive health services; cost sharing.
Notwithstanding any other provision of law, a health benefit plan that is not a grandfathered health plan: (1) Must provide coverage of preventive health services as prescribed by the United States Department of Health and Human Services pursuant to 42 U.S.C. 300gg-13 in rules adopted and in effect on January 1, 2017; and (2) May […]
Section 743A.141 – Hearing aids and hearing assistive technology systems.
(1) As used in this section: (a) “Hearing aid” means any nondisposable, wearable instrument or device designed to aid or compensate for impaired human hearing and any necessary ear mold, part, attachments or accessory for the instrument or device, except batteries and cords. (b) “Hearing assistive technology systems” means devices used with or without hearing […]
Section 743A.148 – Maxillofacial prosthetic services.
(1) The Legislative Assembly declares that all group health insurance policies providing hospital, medical or surgical expense benefits, other than limited benefit coverage, include coverage for maxillofacial prosthetic services considered necessary for adjunctive treatment. (2) As used in this section, “maxillofacial prosthetic services considered necessary for adjunctive treatment” means restoration and management of head and […]
Section 743A.150 – Treatment of craniofacial anomaly.
(1) As used in this section, “craniofacial anomaly” means a physical disorder identifiable at birth that affects the bony structures of the face or head, including but not limited to cleft palate, cleft lip, craniosynostosis, craniofacial microsomia and Treacher Collins syndrome. (2) All health benefit plans, as defined in ORS 743B.005, providing coverage of hospital, […]