Section 514C.30 – Services provided by a physical therapist, occupational therapist, or speech pathologist.
514C.30 Services provided by a physical therapist, occupational therapist, or speech pathologist. 1. Notwithstanding the uniformity of treatment requirements of section 514C.6, a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses shall not impose a copayment or coinsurance amount on an insured for services provided by a physical […]
Section 514C.31 – Applied behavior analysis for treatment of autism spectrum disorder — coverage.
514C.31 Applied behavior analysis for treatment of autism spectrum disorder — coverage. 1. Notwithstanding the uniformity of treatment requirements of section 514C.6, a group policy, contract, or plan providing for third-party payment or prepayment of health, medical, and surgical coverage benefits shall provide coverage benefits for applied behavior analysis provided by a practitioner to covered […]
Section 514C.32 – Services provided by certain licensed master social workers, licensed mental health counselors, and licensed marital and family therapists.
514C.32 Services provided by certain licensed master social workers, licensed mental health counselors, and licensed marital and family therapists. 1. Notwithstanding section 514C.6, a policy or contract providing for third-party payment or prepayment of health or medical expenses shall include a provision for the payment of necessary behavioral health services provided by any of the […]
Section 514C.33 – Services provided by provisionally licensed psychologists.
514C.33 Services provided by provisionally licensed psychologists. 1. Notwithstanding section 514C.6, a policy or contract providing for third-party payment or prepayment of health or medical expenses shall include a provision for the payment of necessary behavioral health services provided by a person who holds a provisional license to practice psychology pursuant to section 154B.6, and […]
Section 514C.18 – Diabetes coverage.
514C.18 Diabetes coverage. 1. Notwithstanding the uniformity of treatment requirements of section 514C.6, a policy or contract providing for third-party payment or prepayment of health or medical expenses shall provide coverage benefits for the cost associated with equipment, supplies, and self-management training and education for the treatment of all types of diabetes mellitus when prescribed […]
Section 514C.34 – Health care services delivered by telehealth — coverage.
514C.34 Health care services delivered by telehealth — coverage. 1. As used in this section, unless the context otherwise requires: a. “Covered person” means the same as defined in section 514J.102. b. “Facility” means the same as defined in section 514J.102. c. “Health care professional” means the same as defined in section 514J.102. d. “Health […]
Section 514C.19 – Prescription contraceptive coverage.
514C.19 Prescription contraceptive coverage. 1. Notwithstanding the uniformity of treatment requirements of section 514C.6, a group policy or contract providing for third-party payment or prepayment of health or medical expenses shall not do either of the following: a. Exclude or restrict benefits for prescription contraceptive drugs or prescription contraceptive devices which prevent conception and which […]
Section 514C.35 – Behavioral health services provided in a school — coverage.
514C.35 Behavioral health services provided in a school — coverage. 1. Notwithstanding the uniformity of treatment requirements of section 514C.6, a policy, contract, or plan providing for third-party payment or prepayment of health or medical expenses shall not deny coverage or payment for behavioral health services, including behavioral health services provided via telehealth, solely because […]
Section 514C.4 – Mandated coverage for mammography.
514C.4 Mandated coverage for mammography. 1. a. A policy or contract providing for third-party payment or prepayment of health or medical expenses shall provide minimum mammography examination coverage, including, but not limited to, the following classes of third-party payment provider contracts or policies delivered, issued for delivery, continued, or renewed in this state. (1) Individual […]
Section 514C.5 – Prescription drug benefit restrictions.
514C.5 Prescription drug benefit restrictions. 1. A group policy or contract providing for third-party payment or prepayment for prescription drugs shall not require a person covered under the policy or contract to obtain prescription drugs from a mail order pharmacy as a condition of obtaining benefits for prescription drugs if the pharmacy selected by the […]