Connecticut § 38a-492v Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services.

Connecticut Statutes

§ 38a-492v — Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services.

Connecticut·Title 38a Insurance·Ch. 700c Health Insurance

(a)As used in this section, “hospice care program” has the same meaning as provided in section 19a-122e.

(b)Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state shall provide coverage for hospice services provided to an insured in the home through a hospice care program, to the extent coverage is provided for inpatient hospice services in a hospital. Such coverage shall be subject to the same terms and conditions applicable to all other benefits under such policy.

(c)No such policy shall exclude a hospice service for coverage solely because such hospice service is provided in the home and not at a hospital, provided hospi

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(a) As used in this section, “hospice care program” has the same meaning as provided in section 19a-122e. (b) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state shall provide coverage for hospice services provided to an insured in the home through a hospice care program, to the extent coverage is provided for inpatient hospice services in a hospital. Such coverage shall be subject to the same terms and conditions applicable to all other benefits under such policy. (c) No such policy shall exclude a hospice service for coverage solely because such hospice service is provided in the home and not at a hospital, provided hospice care in the home is appropriate for the insured. (d) Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service corporation or other entity from conducting utilization review for in-home hospice services, provided such utilization review is conducted in the same manner and uses the same clinical review criteria as a utilization review for the same hospice services provided in a hospital. See Sec. 38a-518v for similar provisions re group policies.

Connecticut § 38a-492v (Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.