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§ 15-853. Coverage for diagnosis, evaluation, and treatment of lymphedema

West's Annotated Code of MarylandInsuranceEffective: January 1, 2019

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits (Refs & Annos)
Effective: January 1, 2019
MD Code, Insurance, § 15-853
§ 15-853. Coverage for diagnosis, evaluation, and treatment of lymphedema
Currentness
“Gradient compression garment” defined
(a)(1) In this section, “gradient compression garment” means a garment that:
(i) is used for the treatment of lymphedema;
(ii) requires a prescription; and
(iii) is custom fit for the individual for whom the garment is prescribed.
(2) “Gradient compression garment” does not include disposable medical supplies, including over-the-counter compression or elastic knee-high or other stocking products.
Application of section
(b) This section applies to:
(1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and
(2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that are issued or delivered in the State.
Items included in coverage
(c) An entity subject to this section shall provide coverage for the medically necessary diagnosis, evaluation, and treatment of lymphedema, including equipment, supplies, complex decongestive therapy, gradient compression garments, and self-management training and education.
Coverage subject to annual deductibles, copayments, or coinsurance requirements
(d)(1) Subject to paragraph (2) of this subsection, the coverage required under this section may be subject to the annual deductibles, copayments, or coinsurance requirements imposed by an entity subject to this section for similar coverages under the same health insurance policy or contract.
(2) The annual deductibles, copayments, or coinsurance requirements imposed under paragraph (1) of this subsection for the coverage required under this section may not be greater than the annual deductibles, copayments, or coinsurance requirements imposed by the entity for similar coverages.

Credits

Added by Acts 2018, c. 471, § 1, eff. Jan. 1, 2019.
MD Code, Insurance, § 15-853, MD INSURANCE § 15-853
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.
End of Document