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OH HB310
Bill
Status
10/13/2009
Primary Sponsor
Edna Brown
Click for details
AI Summary
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Defines "prosthesis" as an artificial leg, arm, or eye, including replacements required due to changes in the patient's physical condition.
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Requires health insuring corporations to cover medically necessary prostheses at least equal to Medicare coverage levels under policies delivered, issued, or renewed in Ohio.
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Requires sickness and accident insurers and public employee benefit plans to provide prosthesis coverage meeting Medicare standards for policies issued or plans established/modified after the effective date.
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Allows insurers to require prior authorization using standard processes, impose cost-sharing (deductible, copayment, coinsurance) consistent with other covered benefits, and set reimbursement at Medicare fee schedule amounts.
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Prohibits annual or lifetime dollar maximums specific to prostheses, except for aggregate maximums applying to all covered services; exempts supplemental policies and specific disease/accident coverage from requirements.
Legislative Description
To require health insurers to provide coverage for prostheses.
Health insurers-provide coverage for prostheses
Last Action
Committee Report - S
5/27/2010