§ 15-821. Diagnostic or surgical procedures for bones of face, neck, and head
West's Annotated Code of MarylandInsurance
MD Code, Insurance, § 15-821
§ 15-821. Diagnostic or surgical procedures for bones of face, neck, and head
(a) This section applies to each policy or contract that is issued or delivered in the State to an employer or individual by an insurer or nonprofit health service plan.
(b)(1) A policy or contract subject to this section that provides coverage on a group or individual basis for a diagnostic or surgical procedure involving a bone or joint of the skeletal structure may not exclude or deny coverage for the same diagnostic or surgical procedure involving a bone or joint of the face, neck, or head if, under the accepted standards of the profession of the health care provider rendering the service, the procedure is medically necessary to treat a condition caused by a congenital deformity, disease, or injury.
(c)(1) This section does not affect any other coverage required under this article or restrict the scope of coverage under a policy or contract subject to this section.
Credits
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, § 490K.
MD Code, Insurance, § 15-821, MD INSURANCE § 15-821
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.
End of Document |