Maine § 24-A §4237 Coverage for breast cancer treatment

Maine Statutes

§ 24-A §4237 — Coverage for breast cancer treatment

Maine·Title 24-A MAINE INSURANCE CODE·Ch. 56 HEALTH MAINTENANCE ORGANIZATIONS

1.Inpatient care. All individual and group coverage subject to this chapter that provides coverage for medical and surgical benefits must ensure that inpatient coverage with respect to the treatment of breast cancer is provided for a period of time determined by the attending physician, after providing notice to the patient regarding the coverage required by this subsection and in consultation with the patient, to be medically appropriate following a mastectomy, a lumpectomy or a lymph node dissection for the treatment of breast cancer.

2.Reconstruction. All individual and group coverage subject to this chapter that provides coverage for mastectomy surgery must provide coverage for reconstruction of the breast on which surgery has been performed and surgery and reconstruction of the othe

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1.
Inpatient care.
All individual and group coverage subject to this chapter that provides coverage for medical and surgical benefits must ensure that inpatient coverage with respect to the treatment of breast cancer is provided for a period of time determined by the attending physician, after providing notice to the patient regarding the coverage required by this subsection and in consultation with the patient, to be medically appropriate following a mastectomy, a lumpectomy or a lymph node dissection for the treatment of breast cancer.
2.
Reconstruction.
All individual and group coverage subject to this chapter that provides coverage for mastectomy surgery must provide coverage for reconstruction of the breast on which surgery has been performed and surgery and reconstruction of the other breast to produce a symmetrical appearance if the patient elects reconstruction and in the manner chosen by the patient and the physician.
3.
Application.
The requirements of this section apply to all individual and group policies, contracts and certificates executed, delivered, issued for delivery, continued or renewed in this State. For purposes of this section, all contracts are deemed to be renewed no later than the next yearly anniversary of the contract date.

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Legislative History

RR 1995, c. 1, §19 (COR). RR 1995, c. 1, §21 (COR). PL 1995, c. 295, §5 (NEW). PL 1995, c. 369, §4 (NEW). PL 1995, c. 418, §C4 (NEW). PL 1997, c. 408, §7 (RPR). PL 1997, c. 408, §8 (AFF). PL 2003, c. 517, §B24 (AMD). PL 2015, c. 227, §4 (AMD). PL 2015, c. 227, §5 (AFF).