24-A §2762. Coverage for hearing aids
§2762. Coverage for hearing aids 1. Hearing aid; definition. For purposes of this section, “hearing aid” means a nonexperimental, wearable instrument or device designed for the ear and offered for the purpose of aiding or compensating for impaired human hearing, excluding batteries and cords and other assistive listening devices, including, but not limited to, frequency […]
24-A §2763. Coverage for colorectal cancer screening
§2763. Coverage for colorectal cancer screening 1. Colorectal cancer screening. For the purposes of this section, “colorectal cancer screening” means all colorectal cancer examinations and laboratory tests recommended by a health care provider in accordance with the most recently published colorectal cancer screening guidelines of a national cancer society. [PL 2019, c. 86, §1 […]
24-A §2764. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE 24-A, SECTION 2763)
§2764. Coverage for medically necessary infant formula (REALLOCATED FROM TITLE 24-A, SECTION 2763) All individual health insurance policies, contracts and certificates must provide coverage for amino acid-based elemental infant formula for children 2 years of age and under in accordance with this section. [RR 2007, c. 2, §11 (RAL).] 1. Determination of medical necessity. […]
24-A §2765. Coverage for services provided by independent practice dental hygienist
§2765. Coverage for services provided by independent practice dental hygienist 1. Services provided by independent practice dental hygienist. An insurer that issues individual dental insurance or health insurance that includes coverage for dental services shall provide coverage for dental services performed by an independent practice dental hygienist licensed under Title 32, chapter 143 when those […]
24-A §2765-A. Coverage for services provided by dental therapist
§2765-A. Coverage for services provided by dental therapist 1. Services provided by dental therapist. An insurer that issues individual dental insurance or health insurance that includes coverage for dental services shall provide coverage for dental services performed by a dental therapist licensed under Title 32, chapter 143 when those services are covered services under the […]
24-A §2766. Enrollment of dependent children in dental coverage
§2766. Enrollment of dependent children in dental coverage 1. Offer of dependent coverage; enrollment period. All individual dental insurance policies and contracts that offer dependent coverage must offer the opportunity to enroll a dependent child in the dental insurance coverage at appropriate rates during the following periods: A. From birth to 30 days of […]
24-A §2766-A. Dental benefit waiting period
§2766-A. Dental benefit waiting period 1. Enrollee defined. For the purposes of this section, unless the context otherwise indicates, “enrollee” means a person who is covered under an individual policy or contract provided by an insurer. [PL 2019, c. 605, §5 (NEW).] 2. No waiting period for enrollee under 19 years of age. An […]
24-A §2767. Coverage for children’s early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2766)
§2767. Coverage for children’s early intervention services (REALLOCATED FROM TITLE 24-A, SECTION 2766) 1. Definition. For purposes of this section, “children’s early intervention services” means services provided by licensed occupational therapists, physical therapists, speech-language pathologists or clinical social workers working with children from birth to 36 months of age with an identified developmental disability or […]
24-A §2768. Coverage for the diagnosis and treatment of autism spectrum disorders (REALLOCATED FROM TITLE 24-A, SECTION 2766)
§2768. Coverage for the diagnosis and treatment of autism spectrum disorders (REALLOCATED FROM TITLE 24-A, SECTION 2766) 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Applied behavior analysis” means the design, implementation and evaluation of environmental modifications using behavioral stimuli and consequences […]
24-A §2769. Prescription synchronization
§2769. Prescription synchronization 1. Synchronization. If a health plan provides coverage for prescription drugs, a carrier: A. Shall permit and apply a prorated daily cost-sharing rate to a prescription that is dispensed by a pharmacist in the carrier’s network for less than a 30-day supply if the prescriber or pharmacist determines that filling or […]