§ 24-A §2837 — Home health care coverage

Maine § 24-A §2837

• Jurisdiction: Maine
• Title 24-A: MAINE INSURANCE CODE
• Ch. 35: GROUP AND BLANKET HEALTH INSURANCE

Text

Every insurer which issues or issues for delivery in this State group or blanket health insurance policies or plans, which provide coverage on an expense incurred basis for inpatient hospital care, shall make available that coverage for home health care services by a home health care provider.
The policy providing coverage for home health care services may contain reasonable limitation on the number of home care visits and other services provided, but the number of such visits shall not be less than 90 in any continuous period of 12 months for each person covered under the policy. Each visit by an individual member of a home health care provider shall be considered as one home care visit.
1.
Home health care services.
"Home health care services" means those health care services rendered in a covered person's place of residence on a part-time basis to a covered person only if:
2.
Home health care included.
"Home health care services" shall include:
3.
Home health care provider.
"Home health care provider" means a home health care agency which is certified under Title XVIII of the Social Security Act of 1965, as amended, which:
4.
Exclusions.

Legislative History

PL 1977, c. 470, §3 (NEW). PL 1977, c. 696, §202 (AMD). RR 2021, c. 1, Pt. B, §249 (COR).