PARRIS N. GLENDENING, Governor

Ch, 35

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 468C(a)(l).

Defined terms: "Carrier" § 15-901

"Medicare supplement policy" § 15-901

15-905. RESTORATION OF BENEFITS.

A CARRIER SHALL RESTORE ANY BENEFIT THAT WAS ELIMINATED FROM A
MEDICARE SUPPLEMENT POLICY BECAUSE OF THE FEDERAL MEDICARE
CATASTROPHIC COVERAGE ACT OF 1988.

REVISOR'S NOTE: This section was formerly Art. 48A, § 468BA.

The only changes are in style.

Defined terms: "Carrier" § 15-901

"Medicare supplement policy" § 15-901

15-906. POLICY PROVISIONS.

(A) MINIMUM BENEFITS.

AT A MINIMUM, A MEDICARE SUPPLEMENT POLICY SHALL PROVIDE:

(1) TO THE EXTENT NOT COVERED BY MEDICARE, COVERAGE OF
MEDICARE PART A ELIGIBLE EXPENSES FOR HOSPITALIZATION FROM THE 61ST DAY
THROUGH THE 90TH DAY OF A MEDICARE BENEFIT PERIOD;

(2) TO THE EXTENT NOT COVERED BY MEDICARE, COVERAGE OF
MEDICARE PART A ELIGIBLE EXPENSES INCURRED AS DAILY HOSPITAL CHARGES
DURING USE OF MEDICARE'S LIFETIME HOSPITAL INPATIENT RESERVE DAYS;

(3) AFTER ALL MEDICARE HOSPITAL INPATIENT COVERAGE IS
EXHAUSTED, INCLUDING LIFETIME RESERVE DAYS, SUBJECT TO THE LIFETIME
MAXIMUM BENEFIT OF AN ADDITIONAL 365 DAYS, COVERAGE OF ALL MEDICARE
PART A ELIGIBLE EXPENSES FOR HOSPITALIZATION NOT COVERED BY MEDICARE
PAID AT THE RATE OF THE DIAGNOSTIC RELATED GROUP (DRG) DAY OUTLIER PER
DIEM OR, IF APPLICABLE, THE PER DIEM APPROVED BY THE HEALTH SERVICES
COST REVIEW COMMISSION;

(4) COVERAGE FOR THE COINSURANCE AMOUNT OF MEDICARE
ELIGIBLE EXPENSES UNDER MEDICARE PART B REGARDLESS OF HOSPITAL
CONFINEMENT;

(5) UNLESS REPLACED IN ACCORDANCE WITH FEDERAL REGULATIONS
OR ALREADY PAID FOR UNDER MEDICARE PART B, COVERAGE UNDER MEDICARE
PART A FOR THE REASONABLE COST IN A CALENDAR YEAR OF THE FIRST 3 PINTS OF
BLOOD OR, AS DEFINED BY FEDERAL REGULATIONS, EQUIVALENT QUANTITIES OF
PACKED RED BLOOD CELLS; AND

(6) UNLESS REPLACED IN ACCORDANCE WITH FEDERAL REGULATIONS
OR ALREADY PAID FOR UNDER MEDICARE PART A AND SUBJECT TO THE MEDICARE
PART B DEDUCTIBLE AMOUNT, COVERAGE UNDER MEDICARE PART B FOR THE

- 1101 -