Ch. 35

1997 LAWS OF MARYLAND

(2) REQUIRING THAT THE INSURED FIRST OR SIMULTANEOUSLY
RECEIVE NURSING OR THERAPEUTIC SERVICES AT HOME OR IN A COMMUNITY
SETTING BEFORE HOME HEALTH CARE SERVICES ARE COVERED.

(3) LIMITING ELIGIBLE SERVICES PROVIDED BY REGISTERED NURSES
OR LICENSED PRACTICAL NURSES;

(4) REQUIRING THAT A NURSE OR THERAPIST PROVIDE SERVICES
COVERED BY THE POLICY OR CERTIFICATE OF LONG-TERM CARE INSURANCE THAT
CAN BE PROVIDED BY A HOME HEALTH AIDE OR OTHER LICENSED OR CERTIFIED
HOME CARE WORKER WHO ACTS WITHIN THE SCOPE OF LICENSURE OR
CERTIFICATION;

(5) REQUIRING THAT THE INSURED HAVE AN ACUTE CONDITION
BEFORE HOME HEALTH CARE SERVICES ARE COVERED; OR

(6) LIMITING BENEFITS TO SERVICES PROVIDED BY
MEDICARE-CERTIFIED AGENCIES OR PROVIDERS.

(C) MAXIMUM COVERAGE.

COVERAGE FOR HOME HEALTH CARE SERVICES MAY BE APPLIED TO THE
COVERAGE FOR OTHER BENEFITS PROVIDED IN THE POLICY OR CERTIFICATE OF
LONG-TERM CARE INSURANCE WHEN DETERMINING MAXIMUM COVERAGE UNDER
THE TERMS OF THE POLICY OR CERTIFICATE.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, §§ 642(e) and 645(b) and (c).

In subsection (a)(1) of this section, the reference to "individuals" to whom
home health care services are provided is substituted for the former reference
to "persons" because home health care services are provided only to
individuals.

In subsection (c) of this section, the reference to "coverage for other benefits"
is substituted for the former references to "nonhome health care benefits" for
clarity.

Defined terms: "Certificate" § 18-101

"Long-term care insurance" § 18-101
"Policy" § 1-101

18-111. SAME - ALZHEIMER'S DISEASE.

EXCEPT FOR COVERAGE EXCLUDED UNDER A PREEXISTING CONDITION
PROVISION, LONG-TERM CARE INSURANCE SHALL PROVIDE COVERAGE FOR
ALZHEIMER'S DISEASE OR OTHER SENILE DEMENTIA DISORDERS WITHOUT ANY
CONDITION, LIMITATION, OR REDUCTION OF COVERAGE NOT APPLICABLE TO
COVERAGE FOR OTHER DISEASES OR ILLNESSES.

REVISOR'S NOTE: This section is new language derived without substantive
change from former Art. 48A, § 648.

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