INSURANCE/HEALTH: Modifies provisions of law regarding health insurance coverage of prosthetic and custom orthotic devices and services (EN INCREASE EX See Note)

Summary

The law requires health plans to determine coverage for prosthetic and custom orthotic devices by consulting the enrollee’s medical providers and physician recommendations. It sets a minimum coverage level equal to federal rates, permits multiple devices when medically necessary, and creates a written appeal process for denied claims.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

Topics

Share