Maine Revised Statutes Title 24-A Sec. 4250 – Coverage for hospice care services
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(REALLOCATED FROM TITLE 24-A, SECTION 4249)
(REALLOCATED FROM TITLE 24-A, SECTION 4249)
1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings.
A. “Hospice care services” means services provided on a 24-hours-a-day, 7-days-a-week basis to a person who is terminally ill and that person’s family. “Hospice care services” includes, but is not limited to, physician services; nursing care; respite care; medical and social work services; counseling services; nutritional counseling; pain and symptom management; medical supplies and durable medical equipment; occupational, physical or speech therapies; volunteer services; home health care services; and bereavement services. [RR 2001, c. 1, §36 (RAL).]
B. “Person who is terminally ill” means a person that has a medical prognosis that the person’s life expectancy is 12 months or less if the illness runs its normal course. [RR 2001, c. 1, §36 (RAL).]
[RR 2001, c. 1, §36 (RAL).]
Terms Used In Maine Revised Statutes Title 24-A Sec. 4250
- Contract: A legal written agreement that becomes binding when signed.
- Health care services: means any services included in the furnishing of medical care, dental care or hospitalization to an individual, or any services incident to the furnishing of that care or hospitalization, as well as the furnishing of any other services to an individual to prevent, alleviate, cure or heal human illness or injury. See Maine Revised Statutes Title 24-A Sec. 4202-A
- Health maintenance organization: means a public or private organization that is organized under the laws of the Federal Government, this State, another state or the District of Columbia or a component of such an organization, and that:
A. See Maine Revised Statutes Title 24-A Sec. 4202-APerson: means an individual, firm, partnership, corporation, association, syndicate, organization, society, business trust, attorney-in-fact or any legal entity. See Maine Revised Statutes Title 24-A Sec. 4202-A Provider: means a physician, hospital or person that is licensed or otherwise authorized in this State to furnish health care services. See Maine Revised Statutes Title 24-A Sec. 4202-A
2. Coverage for hospice care services. All health maintenance organization individual and group health contracts must provide coverage for hospice care services to a person who is terminally ill. Hospice care services must be provided according to a written care delivery plan developed by a hospice care provider and the recipient of hospice care services. Coverage for hospice care services must be provided whether the services are provided in a home setting or an inpatient setting.
[RR 2001, c. 1, §36 (RAL).]
3. Application. The requirements of this section apply to all individual and group policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State. For purposes of this section, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.
[PL 2003, c. 517, Pt. B, §29 (NEW).]
SECTION HISTORY
RR 2001, c. 1, §36 (RAL). PL 2003, c. 517, §B29 (AMD).