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Section 15-801 - Benefits for Alzheimer's Disease and Care of Elderly Individuals - (a) This section applies to: (1) insurers that propose to...
Section 15-802 - Benefits for Treatment of Mental Illnesses, Emotional Disorders, and Drug and Alcohol Misuse - (a) (1) In this section the following words have the...
Section 15-803 - Payments for Blood Products - (a) An insurer or nonprofit health service plan that issues...
Section 15-804 - Coverage for Off-Label Use of Drugs - (a) (1) In this section the following words have the...
Section 15-805 - Reimbursement for Pharmaceutical Products - (a) (1) In this section the following words have the...
Section 15-806 - Choice of Pharmacy for Filling Prescriptions - A nonprofit health service plan that provides pharmaceutical services shall...
Section 15-807 - Coverage for Medical Foods and Modified Food Products - (a) (1) In this section the following words have the...
Section 15-808 - Benefits for Home Health Care - (a) In this section, “home health care” means the continued...
Section 15-809 - Benefits for Hospice Care Services - (a) (1) Each insurer that issues or delivers individual health...
Section 15-810 - Benefits for in Vitro Fertilization - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-810.1 - Coverage for Standard Fertility Preservation Procedures - (a) (1) In this section the following words have the...
Section 15-811 - Hospitalization Benefits for Childbirth - (a) Each insurer and nonprofit health service plan that issues...
Section 15-812 - Inpatient Hospitalization Coverage for Mothers and Newborn Children - (a) (1) In this section the following words have the...
Section 15-813 - Benefits for Disability Caused by Pregnancy or Childbirth - (a) This section applies to each group or blanket health...
Section 15-814 - Coverage for Breast Cancer Screenings - (a) In this section, “digital tomosynthesis” means a radiologic procedure...
Section 15-815 - Coverage for Reconstructive Breast Surgery - (a) (1) In this section the following words have the...
Section 15-816 - Benefits for Routine Gynecological Care - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-817 - Coverage for Child Wellness Services - (a) In this section, “child wellness services” means preventive activities...
Section 15-818 - Benefits for Treatment of Cleft Lip and Cleft Palate - (a) This section applies to: (1) each individual or group...
Section 15-819 - Coverage for Outpatient Services and Second Opinions - (a) This section applies to: (1) each individual, group, or...
Section 15-820 - Benefits for Orthopedic Braces - (a) In this section, “orthopedic brace” means a rigid or...
Section 15-821 - Diagnostic and Surgical Procedures for Bones of Face, Neck, and Head - (a) This section applies to each policy or contract that...
Section 15-822 - Coverage for Diabetes Equipment, Supplies, and Self-Management Training - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-823 - Coverage for Osteoporosis Prevention and Treatment - (a) (1) In this section the following words have the...
Section 15-824 - Coverage for Maintenance Drugs - (a) (1) In this section the following words have the...
Section 15-825 - Coverage for Detection of Prostate Cancer - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-826 - Coverage for Prescription Drugs - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-826.1 - Coverage for Contraceptive Drugs and Devices - (a) In this section, “authorized prescriber” has the meaning stated...
Section 15-826.2 - Coverage for Male Sterilization - (a) (1) In this subsection, “group” means a group that...
Section 15-826.3 - Coverage for Fertility Awareness-Based Methods - (a) In this section, “fertility awareness–based methods” means methods of...
Section 15-827 - Coverage for Patient Cost for Clinical Trials - (a) (1) In this section the following words have the...
Section 15-828 - Coverage for Charges Related to Dental Care - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-829 - Coverage for Detection of Chlamydia - (a) (1) In this section the following words have the...
Section 15-830 - Referrals to Specialists - (a) (1) In this section the following words have the...
Section 15-831 - Coverage of Prescription Drugs - (a) (1) In this section the following words have the...
Section 15-832 - Coverage for Removal of Testicle - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-832.1 - Inpatient Hospitalization Coverage Following Mastectomy - (a) In this section, “mastectomy” means the surgical removal of...
Section 15-833 - Extension of Benefits - (a) A policy will be considered to provide benefits on...
Section 15-834 - Coverage for Prostheses - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-835 - Required Coverage for Habilitative Services - (a) (1) In this section the following words have the...
Section 15-836 - Hair Prosthesis - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-837 - Colorectal Cancer Screening Coverage - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-838 - Hearing Aid Coverage for a Minor Child - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-839 - Coverage for Treatment of Morbid Obesity - (a) (1) In this section the following words have the...
Section 15-840 - Coverage for Medically Necessary Residential Crisis Services - (a) In this section, “residential crisis services” means intensive mental...
Section 15-841 - Coverage for Smoking Cessation Treatment - (a) (1) In this section the following words have the...
Section 15-842 - Copayment or Coinsurance for Prescription Drugs and Devices Limited - (a) (1) This section applies to: (i) insurers and nonprofit...
Section 15-843 - Coverage for Amino Acid-Based Elemental Formula - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-844 - Benefits for Prosthetic Devices - (a) In this section, “prosthetic device” means an artificial device...
Section 15-845 - Coverage for Refills of Prescription Eye Drops - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-846 - Coverage for Cancer Chemotherapy - (a) In this section, “cancer chemotherapy” means medication that is...
Section 15-847 - Coverage for Specialty Drugs - (a) (1) In this section the following words have the...
Section 15-847.1 - Copayment or Coinsurance Limits for Certain Drugs -- Annual Increase Regulated - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-848 - Coverage for Ostomy Equipment and Supplies - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-849 - Coverage for Abuse-Deterrent Opioid Analgesic Drug Products - (a) (1) In this section the following words have the...
Section 15-850 - Prior Authorizations for Opioid Antagonist - (a) In this section, “opioid antagonist” means: (1) naloxone hydrochloride;...
Section 15-851 - Prior Authorization for Drug Products to Treat Opioid Use Disorder -- Prohibition - (a) (1) This section applies to: (i) insurers and nonprofit...
Section 15-852 - Prorated Daily Copayment or Coinsurance Amount for Partial Supply of Prescription Drug - (a) (1) In this section the following words have the...
Section 15-853 - Coverage for Lymphedema Diagnosis, Evaluation, and Treatment - (a) (1) In this section, “gradient compression garment” means a...
Section 15-854 - Prior Authorization for Prescription Drug - (a) (1) This section applies to: (i) insurers and nonprofit...
Section 15-855 - Coverage for Pediatric Autoimmune Neuropsychiatric Disorders - (a) This section applies to: (1) insurers and nonprofit health...
Section 15-856 - // EFFECTIVE UNTIL DECEMBER 31, 2022 PER CHAPTERS 29 AND...