Maine § 24-A §4320-U Coverage for fertility services (REALLOCATED FROM TITLE 24-A, SECTION 4320-S)

Maine Statutes

§ 24-A §4320-U — Coverage for fertility services (REALLOCATED FROM TITLE 24-A, SECTION 4320-S)

Maine·Title 24-A MAINE INSURANCE CODE·Ch. 56-A HEALTH PLAN IMPROVEMENT ACT

1.Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings.

2.Required coverage. A carrier offering a health plan in this State shall provide coverage as provided in this subsection and as set forth in rules adopted by the bureau to an enrollee:

3.Limitations on coverage. A health plan that provides coverage for the services required by this section may include reasonable limitations to the extent that these limitations are not inconsistent with the following requirements and rules adopted by the bureau.

4.Certain services not required. This section does not require a carrier to provide coverage for:

5.Rules. The superintendent may adopt rules to implement the requirements of this section, including, without limitati

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1.
Definitions.
As used in this section, unless the context otherwise indicates, the following terms have the following meanings.
2.
Required coverage.
A carrier offering a health plan in this State shall provide coverage as provided in this subsection and as set forth in rules adopted by the bureau to an enrollee:
3.
Limitations on coverage.
A health plan that provides coverage for the services required by this section may include reasonable limitations to the extent that these limitations are not inconsistent with the following requirements and rules adopted by the bureau.
4.
Certain services not required.
This section does not require a carrier to provide coverage for:
5.
Rules.
The superintendent may adopt rules to implement the requirements of this section, including, without limitation, cost-sharing, benefit design and clinical guidelines. In adopting rules under this subsection, the superintendent shall consider the clinical guidelines developed by the American Society for Reproductive Medicine, its successor organization or a comparable organization. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2‑A.

Maine § 24-A §4320-U (Coverage for fertility services (REALLOCATED FROM TITLE 24-A, SECTION 4320-S)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.