Montana Code Annotated
Part 10. Health Service Corporation Plans
33-30-1014. Coverage for well-child care

33-30-1014. Coverage for well-child care. (1) Each disability insurance plan or group disability insurance plan that is delivered, issued for delivery, renewed, extended, or modified in this state by a health service corporation and that provides coverage for a family member of the insured or subscriber must provide coverage for well-child care for children from the moment of birth through 7 years of age. Benefits provided under this coverage are exempt from any deductible provision that may be in force in the plan.
(2) Coverage for well-child care under subsection (1) must include:
(a) a history, physical examination, developmental assessment, anticipatory guidance, and laboratory tests, according to the schedule of visits adopted under the early and periodic screening, diagnosis, and treatment services program provided for in 53-6-101; and
(b) routine immunizations according to the schedule for immunizations recommended by the immunization practices advisory committee of the U.S. department of health and human services.
(3) Minimum benefits may be limited to one visit payable to one provider for all of the services provided at each visit cited in this section.
(4) This section does not apply to disability income, specified disease, medicare supplement, or hospital indemnity policies.
(5) For purposes of this section:
(a) "developmental assessment" and "anticipatory guidance" mean the services described in the Guidelines for Health Supervision II, published by the American academy of pediatrics; and
(b) "well-child care" means the services described in subsection (2) and delivered at the intervals required in that subsection by a physician or a health care professional supervised by a physician.
(6) When a disability insurance plan or group disability insurance plan issued by a health service corporation provides coverage or benefits to a resident of this state, it is considered to be delivered in this state within the meaning of this section, whether the health service corporation that issued or delivered the policy or certificate is located inside or outside of this state.
History: En. Sec. 3, Ch. 199, L. 1991; amd. Sec. 4, Ch. 390, L. 2007.

Structure Montana Code Annotated

Montana Code Annotated

Title 33. Insurance and Insurance Companies

Chapter 30. Health Service Corporations

Part 10. Health Service Corporation Plans

33-30-1001. Newborn infants covered by insurance by health service corporation

33-30-1002. Disability coverage of services received in state institutions -- coverage of persons eligible for public medical assistance

33-30-1003. Continuation of coverage for persons with disabilities -- individual contracts

33-30-1004. Continuation of coverage for persons with disabilities -- group contracts

33-30-1005. Right of rescission

33-30-1006. Continuing group coverage after termination

33-30-1007. Conversion on termination of eligibility

33-30-1008. Preexisting conditions

33-30-1009. Insured's family -- conversion entitlement

33-30-1010. Renumbered 33-30-1021

33-30-1011. Dentists performing services common to both medicine and dentistry

33-30-1012. Repealed

33-30-1013. Coverage required for services provided by nurse specialists

33-30-1014. Coverage for well-child care

33-30-1015. Limitation of eligibility on conversion

33-30-1016. Coverage for adopted children from time of placement -- preexisting conditions

33-30-1017. Coverage required for services provided by naturopathic physicians

33-30-1018. Coverage required for services provided by physical therapist

33-30-1019. Coverage for services provided under freedom of choice for auxiliary health services

33-30-1020. Coverage for services provided under freedom of choice for mental health services

33-30-1021. Applicability