24-A §2761. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery
§2761. Offer of coverage for breast reduction surgery and symptomatic varicose vein surgery All individual health insurance policies, contracts and certificates must make available coverage for breast reduction surgery and symptomatic varicose vein surgery determined to be medically necessary health care as defined in section 4301‑A, subsection 10‑A. [PL 2005, c. 128, §2 (NEW); […]
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 §2745-A. Screening mammograms
§2745-A. Screening mammograms 1. Definition. For purposes of this section, “screening mammogram” means a radiologic procedure that is provided to an asymptomatic woman for the purpose of early detection of breast cancer and that consists of 2 radiographic views per breast. A screening mammogram also includes an additional radiologic procedure recommended by a provider when […]
24-A §2752. Mandated health legislation procedures
§2752. Mandated health legislation procedures 1. Mandated health benefits proposals. For purposes of this section, a mandated health benefit proposal is one that mandates health insurance coverage for specific health services, specific diseases or certain providers of health care services as part of individual or group health insurance policies. A mandated option is not a […]
24-A §2745-B. Acupuncture services
§2745-B. Acupuncture services All individual insurance policies providing coverage for acupuncture must provide coverage for those services when performed by an acupuncturist licensed pursuant to Title 32, chapter 113‑B, subchapter II, under the same conditions that apply to the services of a licensed physician. [PL 1995, c. 671, §9 (AMD).] SECTION HISTORY PL 1991, […]