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054.00.52-6. REQUIRED OPTIONS.

AR ADC 054.00.52-6Arkansas Administrative Code

West's Arkansas Administrative Code
Title 054. Insurance Department
Division 00.
Rule 52. Minimum Standards for Minimum Basic Benefit Disability Insurance
Ark. Admin. Code 054.00.52-6
054.00.52-6. REQUIRED OPTIONS.
Currentness
Every policy offered for sale as a basic benefit policy shall give the insured the option of purchasing the following coverages, subject to underwriting guidelines:
A. Children's Preventive Health Care coverage for services rendered at the following age intervals by a single physician during the course of one visit:
Birth, two (2) months, four (4) months, six (6) months, nine (9) months, twelve (12) months, fifteen (15) months, eighteen (18) months, two (2) years, three (3) years, four (4) years, five (5) years, and six (6) years.
B. Benefit for Children's Preventive Health Care shall be reimbursed at levels equal with the levels established for the same services under the medicaid program in the State of Arkansas. Furthermore, all copayments and other amounts payable by insureds pursuant to Section 4 of this Rule and Regulation shall be applicable to benefits payable for Children's Preventive Health Care.
C. Prenatal Care coverage shall be offered which includes coverage for one prenatal visit per month during the first two trimesters of pregnancy, two office visits per month during the seventh and eighth month of pregnancy, and one office visit per week during the ninth month until term. Coverage shall include all necessary examinations, laboratory and diagnostic procedures and tests deemed appropriate by the treating physician.
D. Obstetrical care shall be offered which includes physician services, delivery room and other medically necessary hospital services.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 054.00.52-6, AR ADC 054.00.52-6
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