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Session Laws, 1999
Volume 796, Page 1483   View pdf image
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(1) INSURERS AND NONPROFIT HEALTH SERVICE PLANS THAT PROVIDE
INPATIENT HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR
GROUPS ON AN EXPENSE-INCURRED BASIS UNDER HEALTH INSURANCE POLICIES
OR CONTRACTS THAT ARE ISSUED OR DELIVERED IN THE STATE; AND

(2) HEALTH MAINTENANCE ORGANIZATIONS THAT PROVIDE INPATIENT
HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS UNDER
CONTRACTS THAT ARE ISSUED OR DELIVERED IN THE STATE.

(C) FOR A PATIENT WHO RECEIVES LESS THAN 48 HOURS OF INPATIENT
HOSPITALIZATION FOLLOWING A MASTECTOMY OR THE SURGICAL REMOVAL OF A
TESTICLE. OR WHO UNDERGOES A MASTECTOMY OR THE SURGICAL REMOVAL OF A
TESTICLE ON AN OUTPATIENT BASIS, AN ENTITY SUBJECT TO THIS SECTION SHALL
PROVIDE COVERAGE FOR:

(1) ONE HOME VISIT SCHEDULED TO OCCUR WITHIN 24 HOURS AFTER
DISCHARGE FROM THE HOSPITAL OR OUTPATIENT HEALTH CARE FACILITY; AND

(2) AN ADDITIONAL HOME VISIT IF PRESCRIBED BY THE PATIENTS
ATTENDING PHYSICIAN.

(D) EACH ENTITY SUBJECT TO THIS SECTION SHALL PROVIDE NOTICE
ANNUALLY TO ITS ENROLLEES AND INSUREDS ABOUT THE COVERAGE REQUIRED
UNDER THIS SECTION.

SECTION 2. AND BE IT FURTHER ENACTED, That the Laws of Maryland
read as follows:

ArticleInsurance

15-831.

(A) IN THIS SECTION, "MASTECTOMY" MEANS THE SURGICAL REMOVAL OF
ALL OR PART OF A BREAST AS A RE
SULT OF BREAST CANCER

(B) THIS SECTION APPLIES TO:

(1) INSURERS AND NONPROFIT HEALTH SERVICE PLANS THAT PROVIDE
INPATIENT HOSPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR
GROUPS ON AN EXPENSE INCURRED BASI
S UNDER HEALTH INSURANCE POLICIES
OR CONTRACTS THAT
ARE ISSUED OR DELIVERED IN THE STATE; AND

(2) HEALTH MAINTENANCE ORGANIZATIONS THAT PROVIDE INPATIENT
HO
SPITAL, MEDICAL, OR SURGICAL BENEFITS TO INDIVIDUALS OR GROUPS UNDER
CONTRACTS THAT ARE ISSUED OR DELIVERED IN THE STATE.

(C) EACH ENTITY SUBJECT TO THIS SECTION SHALL PROVIDE COVERAGE FOR
THE COST OF INPATIENT HO
SPITALIZATION SERVICES FOR A MINIMUM OF;

(1) 48 HOURS OF INPATIENT HOSPITALIZATION CARE AFTER A
MASTECTOMY OR AFTER THE REMOVAL OF A TESTICLE DUE TO TESTICULAR
CANCER; AND


 

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Session Laws, 1999
Volume 796, Page 1483   View pdf image
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