§ 4100l. Coverage of health care services delivered by audio-only telephone
§ 4100l. Coverage of health care services delivered by audio-only telephone (a) As used in this section: (1) “Health care provider” means a person, partnership, or corporation, other than a facility or institution, that is licensed, certified, or otherwise authorized by law to provide professional health care services in this State to an individual during […]
§ 4100c. Adopted child coverage
§ 4100c. Adopted child coverage (a) As used in this section: (1) “Child” means, in connection with any adoption, or placement for adoption of the child, an individual who has not attained age 18 as of the date of the adoption or placement for adoption. (2) “Placement for adoption” means the assumption and retention by […]
§ 4100d. Child vaccine benefits
§ 4100d. Child vaccine benefits No insurer shall reduce its coverage for pediatric vaccines below the coverage provided as of May 1, 1993. (Added 1993, No. 231 (Adj. Sess.), § 2.)
§ 4100e. Required coverage for off-label use
§ 4100e. Required coverage for off-label use (a) A health insurance plan that provides coverage for prescription drugs shall provide coverage for off-label use in cancer treatment in accordance with the following: (1) A health insurance plan contract may not exclude coverage for any drug used for the treatment of cancer on grounds that the […]
§ 4100f. Prostate screenings; coverage required
§ 4100f. Prostate screenings; coverage required (a) Health insurers shall provide coverage for prostate cancer screenings consistent with the recommendations by the Centers for Disease Control and Prevention or upon recommendation of a health care provider. Benefits provided shall be at least as favorable as coverage for other cancer screening procedures and subject to the […]
§ 4100g. Colorectal cancer screening, coverage required
§ 4100g. Colorectal cancer screening, coverage required (a) For purposes of this section: (1) “Colonoscopy” means a procedure that enables a physician to examine visually the inside of a patient’s entire colon and includes the concurrent removal of polyps or biopsy, or both. (2) “Insurer” means insurance companies that provide health insurance as defined in […]
§ 4100h. Orally administered anticancer medication; coverage required
§ 4100h. Orally administered anticancer medication; coverage required (a) A health insurer that provides coverage for cancer chemotherapy treatment shall provide coverage for prescribed, orally administered anticancer medications used to kill or slow the growth of cancerous cells that is no less favorable on a financial basis than intravenously administered or injected anticancer medications covered […]
§ 4100i. Anesthesia coverage for certain dental procedures
§ 4100i. Anesthesia coverage for certain dental procedures (a) A health insurance plan shall provide coverage for the hospital or ambulatory surgical center charges and administration of general anesthesia administered by a licensed anesthesiologist or certified registered nurse anesthetist for dental procedures performed on a covered person who is: (1) a child seven years of […]
§ 4100j. Coverage for tobacco cessation programs
§ 4100j. Coverage for tobacco cessation programs (a) A health insurance plan shall provide coverage of at least one three-month supply per year of tobacco cessation medication, including over-the-counter medication, if prescribed by a licensed health care practitioner for an individual insured under the plan. A health insurance plan may require the individual to pay […]
§ 4100k. Coverage of health care services delivered through telemedicine and by store-and-forward means
§ 4100k. Coverage of health care services delivered through telemedicine and by store-and-forward means (a)(1) All health insurance plans in this State shall provide coverage for health care services and dental services delivered through telemedicine by a health care provider at a distant site to a patient at an originating site to the same extent […]