WILLIAM DONALD SCHAEFER, Governor Ch. 289
benefits for the treatment of alcoholism AND DRUG ABUSE 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 ADULT CARE AND 60 DAYS ADOLESCENT care
[in a Type C or D facility for the treatment of alcoholism] FOR
THE TREATMENT OF DRUG ABUSE, ALCOHOL ABUSE, OR ALCOHOLISM, IN AN
ALCOHOL OR DRUG ABUSE FACILITY licensed by the Department of
Health and Mental Hygiene [Division of Licensing and Enforcement
and certified by that Department's Alcoholism Control
Administration]; and
(3) [30] 52 outpatient visits at a certified
alcoholism OR DRUG ABUSE treatment facility. The benefit for
outpatient visits may be limited to not less than [$1,000]
$3,000 during any calendar year or benefit period. UNLESS GREATER
BENEFITS ARE PROVIDED BY THE CONTRACT, THE BENEFITS FOR
OUTPATIENT VISITS DURING ANY CALENDAR YEAR OR BENEFIT PERIOD
SHALL BE EQUAL TO 100 PERCENT OF THE COST OF CARE OR $3,000,
WHICHEVER IS LESS.
(b) Any group major medical contract, policy or
certificate, including one issued by a nonprofit health service
plan, that provides benefits for both hospitalization and medical
care shall provide benefits equal to at least half those required
by subsection (a) of this section.
(c) Under subsection (a) of this section, the total number
of days and visits combined may be limited to 120 during the
covered person's lifetime. The maximum benefit under subsection
(b) of this section in the aggregate during any calendar year or
benefit period may be limited to not less than [$1,000 UNLESS
GREATER BENEFITS ARE PROVIDED BY THE CONTRACT, THE BENEFITS UNDER
SUBSECTION (B) OF THIS SECTION DURING ANY CALENDAR YEAR OR
BENEFIT PERIOD SHALL BE EQUAL TO 100 PERCENT OF THE COST REQUIRED
TO BE PAID UNDER SUBSECTION (B) OR $3,000, WHICHEVER IS LESS]
$3,000.
(D) FOR THE PURPOSES OF THIS SECTION, "DRUG ABUSE" HAS THE
MEANING STATED IN § 9-101 OF THE HEALTH - GENERAL ARTICLE.
Article - Health - General
9-101.
(e) (1) "Drug abuse" means:
(i) Misuse or unlawful use of a drug;
(ii) Drug dependence; or
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