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 15-818 – Benefits for Treatment of Cleft Lip and Cleft Palate
(a) This section applies to: (1) each individual or group hospital or major medical insurance policy or certificate that is delivered or issued for delivery in the State by an insurer and is written on an expense–incurred basis; (2) each individual or group medical or major medical contract, policy, or certificate that is delivered or issued for delivery […]
Section 15-819 – Coverage for Outpatient Services and Second Opinions
(a) This section applies to: (1) each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and (2) each contract or certificate that is issued or delivered in the State by a nonprofit health service plan. (b) A policy, contract, or certificate subject to this section that provides coverage for […]
Section 15-820 – Benefits for Orthopedic Braces
(a) In this section, “orthopedic brace” means a rigid or semi–rigid device that is used to: (1) support a weak or deformed body member; or (2) restrict or eliminate motion in a diseased or injured part of the body. (b) Each health insurance contract that is delivered or issued for delivery in the State by a nonprofit health service […]
Section 15-821 – Diagnostic and Surgical Procedures for Bones of Face, Neck, and Head
(a) This section applies to each policy or contract that is issued or delivered in the State to an employer or individual by an insurer or nonprofit health service plan. (b) (1) A policy or contract subject to this section that provides coverage on a group or individual basis for a diagnostic or surgical procedure involving a bone […]
Section 15-822 – Coverage for Diabetes Equipment, Supplies, and Self-Management Training
(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 15-823 – Coverage for Osteoporosis Prevention and Treatment
(a) (1) In this section the following words have the meanings indicated. (2) “Bone mass measurement” means a radiologic or radioisotopic procedure or other scientifically proven technology performed on a qualified individual for the purpose of identifying bone mass or detecting bone loss. (3) “Qualified individual” means: (i) an estrogen deficient individual at clinical risk for osteoporosis; (ii) an individual with […]
Section 15-824 – Coverage for Maintenance 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) “Maintenance drug” means a drug anticipated to be required for 6 months or more to treat a chronic condition. (b) This section applies to: (1) insurers and nonprofit health service plans that provide […]
Section 15-825 – Coverage for Detection of Prostate Cancer
(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 15-826 – Coverage for Prescription Drugs
(a) This section applies to: (1) insurers and nonprofit health service plans that provide coverage for prescription drugs under health insurance policies or contracts that are issued or delivered in the State; and (2) health maintenance organizations that provide coverage for prescription drugs under contracts that are issued or delivered in the State. (b) An entity subject to this […]