Bbw in Columbia part 3 the final chapter

Added: Priya Lindquist - Date: 06.01.2022 12:25 - Views: 48244 - Clicks: 7030

Coverage for reconstructive surgery following mastectomies. Hormone replacement therapy coverage. Full-year coverage for contraception. Coverage of preventive health services. Coverage of additional preventive health services. Religious exemption and accommodation.

Notice of rights to healthcare coverage. Applicability to group health plans. Notice of the benefits shall be prominently positioned in any literature or correspondence made available or distributed by the health benefit plan or health insurer and shall be transmitted to the participant or beneficiary upon the earlier of:.

An individual or group health plan, and a health insurer offering health care coverage that provides coverage for prescription drugs, shall provide benefits which cover any hormone replacement therapy that is prescribed or ordered for treating symptoms and conditions of menopause. Healthcare Alliance program shall not be required to provide coverage for a supply of contraceptives intended to last longer than the period of recertification for the D. Healthcare Alliance.

The costs of any consultation by the pharmacist shall also be covered. Food and Drug Administration to prevent pregnancy. Applicability of D. Law : Section 3 of D. Law provided that the act shall apply as of January 1, Act , Feb.

Act , Apr. Law , July 11, , 64 DCR Healthcare Alliance program shall provide coverage for, and shall not impose any cost-sharing requirements on, women for the following preventive health services and products:. A-i Adjuvant breast cancer screening, including magnetic resonance imaging, ultrasound screening, or molecular breast imaging of the breast, if:.

B Breast feeding support, services, and supplies;. C Screening for cervical cancer, including HPV testing;. D Screening for gestational diabetes;. E Screening and counseling for HIV;. F Screening and counseling for interpersonal and domestic violence;. G Screening and counseling for sexually-transmitted diseases;. H Screening and counseling for Hepatitis B and C;. I Well-woman preventive visits, including visits to obtain necessary preventive care, preconception care, and prenatal care;.

J Folic acid supplementation;. K Breast cancer chemoprevention counseling and preventive medications;. M Rh incompatibility screening;. A Include additional preventive services or products for women or expansions of covered preventive services or products for women identified by the United States Preventive Services Task Force or the Health Resources and Services Administration of the United States Department of Health and Human Services after September 19, ; and.

B Remove items or services defined in subsections a and b of this section that a federal agency determines to pose a ificant safety concern, consistent with the requirements of 45 C. A Class A, indicating fatty breast tissue;. B Class B, indicating scattered fibroglandular breast tissue;. C Class C, indicating heterogeneously dense breast tissue with fibrous and glandular tissue that are evenly distributed throughout the breast; and.

D Class D, indicating extremely dense breast tissue. Healthcare Alliance program shall also provide coverage for and shall not impose any cost-sharing requirements for the following:. B If there is a therapeutic equivalent of an FDA-approved contraceptive drug, device, product, or service, coverage shall also include either the original FDA-approved contraceptive drug, device, product, or service or at least one of its therapeutic equivalents, without imposing any cost-sharing requirements;.

C If the covered contraceptive drug, device, product, or service is deemed medically inadvisable by a provider, the health insurer shall defer to the determination and judgment of the attending provider and provide coverage for the alternative prescribed contraceptive drug, device, product, or service without imposing any cost-sharing requirements; and. D Nothing in this section shall prohibit a health insurer from requiring the use of a generic prescription drug when providing coverage for preventive contraceptive drugs, devices, products, or services, so long as such health insurer:.

A That can be viewed on the insurer's public website through a clearly identifiable link or tab without requiring an individual to create or access an or enter a policy or contract ;. B By or letter within 14 days after a request by an enrollee; and. C Within one year after March 28, , or whenever written materials are reprinted, whichever is sooner, in written materials that explain benefits or coverage that are provided to enrollees and potential enrollees, including in an addendum summarizing benefits and coverage.

An individual or group health plan which is a health benefit plan, and a health insurer offering health care coverage, shall not:. The Commissioner shall promulgate regulations necessary to implement the provisions of this chapter within days after April 3, The provisions of this chapter shall apply to group health benefit plans for years beginning on or after April 3, Chapter 38B. Notice of the benefits shall be prominently positioned in any literature or correspondence made available or distributed by the health benefit plan or health insurer and shall be transmitted to the participant or beneficiary upon the earlier of: 1 Any yearly informational packet sent to the participant or beneficiary, as part of the packet; 2 In the next mailing made by the health benefit plan or health insurer to the participant or beneficiary; or 3 Not later than 60 days after April 3, Applicability Applicability of D.

Healthcare Alliance program shall also provide coverage for and shall not impose any cost-sharing requirements for the following: 1 Voluntary sterilization procedures for women; 2 A All contraceptive drugs, devices, products and services approved by the U. An individual or group health plan which is a health benefit plan, and a health insurer offering health care coverage, shall not: 1 Deny a patient eligibility, or continued eligibility, to enroll or renew coverage under terms of the health benefit plan, solely for the purpose of avoiding the requirements of this chapter; or 2 Penalize or otherwise reduce or limit the reimbursement of an attending provider, or provide incentives monetary or otherwise to an attending provider, to induce such provider to provide care to an individual participant or beneficiary in a manner inconsistent with this chapter.

Bbw in Columbia part 3 the final chapter

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