Section 15-828 – Coverage for Charges Related to Dental Care
(a) This section applies to: (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies that are issued or delivered in the State; and (2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that […]
Section 15-843 – Coverage for Amino Acid-Based Elemental Formula
(a) This section applies to: (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense–incurred basis under health insurance policies that are issued or delivered in the State; and (2) health maintenance organizations that provide hospital, medical, and surgical benefits to individuals or groups under contracts that […]
Section 15-829 – Coverage for Detection of Chlamydia
(a) (1) In this section the following words have the meanings indicated. (2) “Chlamydia screening test” means any laboratory test that: (i) specifically detects for infection by one or more agents of chlamydia trachomatis; and (ii) is approved for this purpose by the federal Food and Drug Administration. (3) “Human papillomavirus screening test” means any laboratory test that: (i) specifically detects for […]
Section 15-844 – Benefits for Prosthetic Devices
(a) In this section, “prosthetic device” means an artificial device to replace, in whole or in part, a leg, an arm, or an eye. (b) This section applies to: (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense–incurred basis under health insurance policies or contracts that […]
Section 15-830 – Referrals to Specialists
(a) (1) In this section the following words have the meanings indicated. (2) “Carrier” means: (i) an insurer that offers health insurance other than long–term care insurance or disability insurance; (ii) a nonprofit health service plan; (iii) a health maintenance organization; (iv) a dental plan organization; or (v) except for a managed care organization as defined in Title 15, Subtitle 1 of the […]
Section 15-845 – Coverage for Refills of Prescription Eye Drops
(a) This section applies to: (1) insurers and nonprofit health service plans that provide coverage for prescription eye drops under health insurance policies or contracts that are issued or delivered in the State; and (2) health maintenance organizations that provide coverage for prescription eye drops under contracts that are issued or delivered in the State. (b) An entity subject […]
Section 15-831 – Coverage of Prescription Drugs
(a) (1) In this section the following words have the meanings indicated. (2) “Authorized prescriber” has the meaning stated in § 12–101 of the Health Occupations Article. (3) “Formulary” means a list of prescription drugs or devices that are covered by an entity subject to this section. (4) (i) “Member” means an individual entitled to health care benefits for prescription drugs […]
Section 15-846 – Coverage for Cancer Chemotherapy
(a) In this section, “cancer chemotherapy” means medication that is prescribed by a licensed physician to kill or slow the growth of cancer cells. (b) This section applies to: (1) insurers and nonprofit health service plans that provide coverage for both orally administered cancer chemotherapy and cancer chemotherapy that is administered intravenously or by injection under health insurance […]
Section 15-832 – Coverage for Removal of Testicle
(a) This section applies to: (1) insurers and nonprofit health service plans that provide inpatient hospital, medical, or surgical benefits to individuals or groups on an expense–incurred basis under health insurance policies or contracts that are issued or delivered in the State; and (2) health maintenance organizations that provide inpatient hospital, medical, or surgical benefits to individuals or […]
Section 15-832.1 – Inpatient Hospitalization Coverage Following Mastectomy
(a) In this section, “mastectomy” means the surgical removal of all or part of a breast as a result of breast cancer. (b) This section applies to: (1) insurers and nonprofit health service plans that provide inpatient hospital, medical, or surgical benefits to individuals or groups on an expense–incurred basis under health insurance policies or contracts that are […]