(a) Except as provided in subsection (b) of this section, a policy or certificate of long-term care insurance may not be delivered or issued for delivery in the State if the policy or certificate limits or excludes coverage by type of illness, treatment, medical condition, or accident.
(b) A policy or certificate of long-term care insurance may limit or exclude coverage of:
(1) preexisting conditions or diseases;
(2) mental or nervous conditions or diseases other than Alzheimer’s disease;
(3) alcohol or drug addiction;
(4) unless otherwise provided by State or federal law, treatment provided in a government facility;
(5) services provided by a member of the covered individual’s immediate family;
(6) services for which a charge normally is not made in the absence of insurance;
(7) services for which benefits are available under:
(i) Medicare or other governmental programs except Medicaid; or
(ii) a State or federal workers’ compensation, employer’s liability, or occupational disease law; and
(8) illness, treatment, or medical conditions arising out of:
(i) a declared or undeclared war or act of war;
(ii) participation in a felony, riot, or insurrection;
(iii) service in the armed forces or auxiliary units;
(iv) suicide, attempted suicide, or intentionally self-inflicted injury; or
(v) aviation, if the insured is a passenger who does not pay a fare.
(c) This section does not prohibit:
(1) exclusions and limitations by type of provider; or
(2) limitations by territory.
Structure Maryland Statutes
Title 18 - Long-Term Care Insurance
Section 18-103 - Compliance With Title Required; Advertising; Marketing
Section 18-104 - Questions in Applications
Section 18-105 - Applicants at Least 80 Years Old
Section 18-106 - Outline of Coverage and Buyer's Guide
Section 18-107 - Contents of Certificates
Section 18-108 - Summaries of Long-Term Care Benefits in Life Insurance Policies
Section 18-109 - Policy Limitations and Exclusions -- in General
Section 18-110 - Policy Limitations and Exclusions -- Home Health Care Services
Section 18-111 - Policy Limitations and Exclusions -- Alzheimer's Disease
Section 18-112 - Continuation of Coverage or Conversion of Policies
Section 18-113 - Replacement Policies
Section 18-114 - Inflation Protection Option
Section 18-115 - Evaluating Expected and Actual Loss Ratios
Section 18-116 - Increases to Premiums
Section 18-116.1 - Contingent Benefit Upon Lapse
Section 18-117 - Reports About Benefits Funded by Acceleration of Death Benefits
Section 18-118 - Cancellation, Refusal to Renew, or Termination of Policies