All individual health policies and contracts, except accidental injury, specified disease, hospital indemnity, Medicare supplement, long-term care and other limited benefit health insurance policies and contracts, must provide coverage for the medically appropriate and necessary equipment, limited to insulin, oral hypoglycemic agents, monitors, test strips, syringes and lancets, and the out-patient self-management training and educational services used to treat diabetes, if: [PL 1995, c. 592, §2 (NEW).]
1. Certification of medical necessity. The insured‘s treating physician or a physician who specializes in the treatment of diabetes certifies that the equipment and services are necessary; and

[PL 1995, c. 592, §2 (NEW).]

Terms Used In Maine Revised Statutes Title 24-A Sec. 2754

  • health insurance: means insurance of human beings against bodily injury, disablement or death by accident or accidental means, or the expense thereof, or against disablement or expense resulting from sickness, and every insurance appertaining thereto, including provision for the mental and emotional welfare of human beings by defraying the costs of legal services only to the extent provided for in chapter 38. See Maine Revised Statutes Title 24-A Sec. 704
  • insured: as used in this chapter , shall not be construed as preventing a person other than the insured with a proper insurable interest from making application for and owning a policy covering the insured or from being entitled under such a policy to any indemnities, benefits and rights provided therein. See Maine Revised Statutes Title 24-A Sec. 2731
2. Provision of medical services. The diabetes out-patient self-management training and educational services are provided through ambulatory diabetes education facilities authorized by the State’s Diabetes Control Project within the Bureau of Health.

[PL 1995, c. 592, §2 (NEW).]

SECTION HISTORY

PL 1995, c. 592, §2 (NEW).
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