Loading chat...
ID S1334
Bill
AI Summary
-
Requires every health benefit plan to provide coverage for prosthetic devices at coverage levels at least equal to the federal Medicare program under 42 U.S.C. sections 1395k, 1395l, and 1395m and 42 CFR 414.202, 414.210, and 414.228
-
Prohibits imposition of special deductibles, copayments, waiting periods, or other special restrictions on prosthetic device coverage unless those restrictions are generally imposed on other benefits in the plan
-
Defines "charges for prosthetic devices" to include artificial limb devices or appliances replacing an arm or leg, all necessary services and supplies for effective use, all required materials and components, and medically necessary repairs or replacements
-
Covers repairs or replacements of prosthetic devices only when medically necessary to restore or maintain ability to complete daily activities or essential job-related activities, excluding comfort or convenience items
Legislative Description
Adds to existing law to provide required coverage for prosthetic devices for certain conditions by health benefit plans.
INSURANCE COVERAGE
Last Action
to Com/HuRes
2/11/2010