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§ 15-135. Annual preventive care coverage

West's Annotated Code of MarylandInsuranceEffective: October 1, 2010

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 1. General Provisions (Refs & Annos)
Effective: October 1, 2010
MD Code, Insurance, § 15-135
§ 15-135. Annual preventive care coverage
Annual preventive care defined
(a)(1) In this section, “annual preventive care” means an annual preventive visit, screening, or examination that is a covered benefit under a policy or contract issued or delivered by an entity subject to this section.
(2) “Annual preventive care” includes, if the service is a covered benefit:
(i) an annual child wellness visit;
(ii) a routine gynecological visit;
(iii) a screening test or examination for colorectal cancer, chlamydia, human papillomavirus, prostate cancer, or breast cancer; and
(iv) an annual vision visit that includes a vision examination.
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.
Annual preventive care requirements
(c) An entity subject to this section that provides covered benefits for annual preventive care shall provide coverage for the annual preventive care if:
(1) the annual preventive care is provided no more than once at any time during the plan year established in the policy or contract; and
(2) any other requirements for coverage of the annual preventive care are met.
Construction of section
(d) This section may not be construed to require coverage for a service not otherwise required by law.

Credits

Added by Acts 2010, c. 535, § 1, eff. Oct. 1, 2010; Acts 2010, c. 536, § 1, eff. Oct. 1, 2010
MD Code, Insurance, § 15-135, MD INSURANCE § 15-135
Current with all legislation from the 2023 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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