§ 20-1376.01 – Prohibiting denial of chiropractic contract benefits; direct reimbursement
20-1376.01. Prohibiting denial of chiropractic contract benefits; direct reimbursement If a disability insurance contract provides for or offers reimbursement for any service which is within the lawful scope of the practice of a chiropractor holding a certificate or license issued by the state in which the services are rendered, a subscriber covered under such contract […]
§ 20-1376.02 – Prohibiting denial of psychologist contract benefits
20-1376.02. Prohibiting denial of psychologist contract benefits If a disability insurance contract provides for or offers reimbursement for any service which is within the lawful scope of the practice of a psychologist holding a certificate or license issued by the state in which the services are rendered, a subscriber covered under such contract may select […]
§ 20-1376.03 – Prohibiting denial of contract benefits; nurses; reimbursement
20-1376.03. Prohibiting denial of contract benefits; nurses; reimbursement If a disability insurance contract provides or offers reimbursement for any service which is within the scope of the practice of a registered nurse practitioner or a certified registered nurse qualified under the rules adopted by the state board of nursing regarding extended nursing practice and licensed […]
§ 20-1376.04 – Prohibiting denial of occupational or physical therapist contract benefits
20-1376.04. Prohibiting denial of occupational or physical therapist contract benefits If a disability insurance contract provides coverage for occupational or physical therapy services, and provides both an in-network and out-of-network benefit, an insurer shall not deny a claim for covered occupational or physical therapy services obtained out-of-network solely on the basis that a physician did […]
§ 20-1376.05 – Telehealth; coverage of health care services; definition
20-1376.05. Telehealth; coverage of health care services; definition A. All policies issued, delivered or renewed by a disability insurer in this state must provide coverage for health care services that are provided through telehealth if the health care service would be covered were it provided through an in-person encounter between the insured and a health […]
§ 20-1376.06 – Cancer treatment medications; cost sharing; definition
20-1376.06. Cancer treatment medications; cost sharing; definition A. A disability insurance policy that is issued, delivered or renewed by a disability insurer on or after January 1, 2016 and that provides coverage both for cancer treatment medications that are injected or intravenously administered by a health care provider and for patient-administered cancer treatment medications, including […]
§ 20-1376.07 – Prescriptions; cost sharing; refills; dispensing fees; definition
20-1376.07. Prescriptions; cost sharing; refills; dispensing fees; definition A. A disability insurance policy that is issued or renewed on or after January 1, 2017 and that provides coverage for prescription drugs: 1. May not deny coverage and shall prorate the cost sharing rate for a prescription drug covered by the policy that is dispensed by […]
§ 20-1376.08 – Prescription eyedrops; refills
20-1376.08. Prescription eyedrops; refills A. Beginning January 1, 2018, any policy that is issued, delivered or renewed by a disability insurer and that provides coverage for prescription eyedrops to treat glaucoma or ocular hypertension may not deny coverage for a refill of a prescription for eyedrops to treat glaucoma or ocular hypertension if all of […]
§ 20-1376.09 – Coverage of health care services
20-1376.09. Coverage of health care services All policies issued, delivered or renewed on or after July 1, 2017 by a disability insurer in this state must provide coverage for lawful health care services that are provided by a health care provider to an insured regardless of the familial relationship of the health care provider to […]
§ 20-1376.10 – Biomarker testing; coverage; definitions
20-1376.10. Biomarker testing; coverage; definitions A. A disability insurer that issues, amends, delivers or renews a policy on or after January 1, 2023 shall provide coverage for biomarker testing. B. A policy shall cover biomarker testing for the purposes of diagnosis, treatment, appropriate management or ongoing monitoring of an insured’s disease or condition to guide […]