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§ 15-801. Elderly individuals and individuals with Alzheimer's disease

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits (Refs & Annos)
MD Code, Insurance, § 15-801
§ 15-801. Elderly individuals and individuals with Alzheimer's disease
Application of section
(a) This section applies to:
(1) insurers that propose to issue or deliver in the State group or blanket health insurance policies that are written on an expense-incurred basis; and
(2) nonprofit health service plans that propose to issue or deliver in the State group medical or major medical contracts that are written on an expense-incurred basis.
Individuals with Alzheimer’s disease
(b) An entity subject to this section shall offer the policyholder the option of providing benefits for expenses arising from the care, including nursing home care and intermediate or custodial nursing care, of individuals who have Alzheimer's disease.
Elderly individuals
(c) An entity subject to this section shall offer the policyholder the option of providing benefits for expenses arising from the care of elderly individuals, including nursing home care and intermediate or custodial nursing care of elderly individuals who have any disease, other than Alzheimer's disease, that is designated in regulations adopted by the Commissioner.
Copayment and deductible provisions and maximum annual and lifetime limits
(d) An entity subject to this section may establish reasonable limits on the benefits offered under this section, including copayment and deductible provisions and maximum annual and lifetime dollar limits.

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, §§ 354FF, 477GG.
MD Code, Insurance, § 15-801, MD INSURANCE § 15-801
Current with legislation effective through October 1, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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