3020

LAWS OF MARYLAND

Ch. 854

(I) EMERGENCY CARE AND DETOXIFICATION IN

AN ACUTE GENERAL HOSPITAL OR A LICENSED NONHOSPITAL

DETOXIFICATION FACILITY 7 DAYS;

(II) CARE IN A LICENSED FACILITY TYPE C OR
D - 42 DAYS.

(D) A POLICY OR CERTIFICATE WHICH PROVIDES BENEFITS
FOR MEDICAL CARE ONLY SHALL PROVIDE MEDICAL CARE BENEFITS
UNDER THE PROGRAM FOR VISITS OR TREATMENT BY A PHYSICIAN,
A PSYCHOLOGIST, A CERTIFIED ALCOHOLISM COUNSELOR, OR A
SOCIAL WORKER FOR AT LEAST THE TOTAL NUMBER OF VISITS OR
TREATMENTS EQUAL TO THE LESSER OF:

(1) THE NUMBER OF VISITS OR TREATMENTS WHICH
WOULD BE PROVIDED UNDER THE POLICY OR CERTIFICATE FOR ANY
OTHER TYPE OF ILLNESS; OR

(2) 60 VISITS OR TREATMENTS IN ANY CALENDAR
YEAR, OR, AT THE OPTION OF THE INSURER, IN ANY POLICY YEAR.

(E) IN ANY MAJOR MEDICAL OR COMPREHENSIVE POLICY OR
CERTIFICATE, OR IN ANY POLICY OR CERTIFICATE PROVIDING
BENEFITS BOTH FOR HOSPITALIZATION AND MEDICAL CARE, BENEFITS
UNDER THE PROGRAM SHALL BE PROVIDED TO AN EXTENT AT LEAST
EQUAL TO THE BENEFITS UNDER PARAGRAPHS (C) AND (D) COMBINED.

(F) THE PROVISIONS OF THIS SECTION APPLY TO ALL GROUP
POLICIES ISSUED ON OR AFTER JULY 1, 1980. IN THE CASE OF
GROUP POLICIES ISSUED PRIOR TO JULY 1, 1980, THE PROVISIONS
OF THIS SECTION SHALL APPLY BEGINNING WITH THE FIRST POLICY
ANNIVERSARY DATE OCCURRING ON OR AFTER JULY 1, 1980. IN THE
CASE OF CERTIFICATES UNDER A GROUP POLICY ISSUED IN ANOTHER
JURISDICTION, THIS SECTION SHALL APPLY FROM THE DATE WHICH
WOULD BE APPLICABLE IF THE GROUP POLICY HAD BEEN DELIVERED
IN THIS STATE.

490F.

(A) ANY GROUP CONTRACT THAT IS ISSUED ON AN EXPENSE
INCURRED BASIS, INCLUDING ONE ISSUED BY A NONPROFIT HEALTH
SERVICE PLAN, SHALL PROVIDE AT LEAST THE FOLLOWING MINIMUM
BENEFITS FOR THE TREATMENT OF ALCOHOLISM IN ANY CALENDAR OR
POLICY YEAR:

(1)  7 DAYS OF EMERGENCY CARE OR DETOXIFICATION
IN AN ACUTE GENERAL HOSPITAL OR A NONHOSPITAL DETOXIFICATION
FACILITY LICENSED BY THE DEPARTMENT OF HEALTH AND MENTAL
HYGIENE;

(2)  30 DAYS CARE IN A TYPE C OR D FACILITY FOR
THE TREATMENT OF ALCOHOLISM LICENSED BY THE DEPARTMENT OF
HEALTH AND MENTAL HYGIENE DIVISION OF LICENSING AND
ENFORCEMENT AND CERTIFIED BY THAT DEPARTMENT'S ALCOHOLISM
CONTROL ADMINISTRATION; AND