Home Table of Contents

§ 15-135.1. Dental preventive care coverage

West's Annotated Code of MarylandInsuranceEffective: October 1, 2012

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 1. General Provisions (Refs & Annos)
Effective: October 1, 2012
MD Code, Insurance, § 15-135.1
§ 15-135.1. Dental preventive care coverage
Definitions
(a)(1) In this section the following words have the meanings indicated.
(2) “Carrier” means an insurer, nonprofit health service plan, health maintenance organization, or dental plan organization that provides dental benefits on an expense-incurred basis under policies or contracts issued or delivered in the State.
(3) “Dental preventive care” means a preventive dental visit, screening, oral examination, teeth cleaning (prophylaxis), fluoride treatment, or routine preventive service that is a covered benefit under a policy or contract issued or delivered by a carrier.
Dental preventive care requirements
(b) If benefits for dental preventive care are available and all other requirements for the coverage of dental preventive care are met, a carrier shall provide coverage for dental preventive care:
(1) at any time during the plan year for a policy or contract that provides coverage for dental preventive care once during the plan year; or
(2) subject to subsection (c) of this section, in accordance with any frequency limitation for a policy or contract that provides coverage for dental preventive care more than once during the plan year.
Frequency limitations
(c) A carrier may not impose a frequency limitation on dental preventive care that requires the dental preventive care to be provided at an interval greater than 120 days during a plan year.
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 2012, c. 720, § 1, eff. Oct. 1, 2012.
MD Code, Insurance, § 15-135.1, MD INSURANCE § 15-135.1
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