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§ 15-846. Orally administered cancer chemotherapy

West's Annotated Code of MarylandInsuranceEffective: April 8, 2014

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits (Refs & Annos)
Effective: April 8, 2014
MD Code, Insurance, § 15-846
§ 15-846. Orally administered cancer chemotherapy
Cancer chemotherapy defined
(a) In this section, “cancer chemotherapy” means medication that is prescribed by a licensed physician to kill or slow the growth of cancer cells.
Application of section
(b) This section applies to:
(1) insurers and nonprofit health service plans that provide coverage for both orally administered cancer chemotherapy and cancer chemotherapy that is administered intravenously or by injection under health insurance policies or contracts that are issued or delivered in the State; and
(2) health maintenance organizations that provide coverage for both orally administered cancer chemotherapy and cancer chemotherapy that is administered intravenously or by injection under contracts that are issued or delivered in the State.
Dollar limits, copayments, deductibles, or coinsurance requirements
(c) An entity subject to this section may not impose dollar limits, copayments, deductibles, or coinsurance requirements on coverage for orally administered cancer chemotherapy that are less favorable to an insured or enrollee than the dollar limits, copayments, deductibles, or coinsurance requirements that apply to coverage for cancer chemotherapy that is administered intravenously or by injection.
Reclassification of cancer chemotherapy or increase in expense
(d) An entity subject to this section may not reclassify cancer chemotherapy or increase a copayment, deductible, coinsurance requirement, or other out-of-pocket expense imposed on cancer chemotherapy to achieve compliance with this section.

Credits

Added by Acts 2012, c. 4, § 1, eff. Oct. 1, 2012; Acts 2012, c. 5, § 1, eff. Oct. 1, 2012. Amended by Acts 2014, c. 67, § 1, eff. April 8, 2014; Acts 2014, c. 68, § 1, eff. April 8, 2014.
MD Code, Insurance, § 15-846, MD INSURANCE § 15-846
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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