Title 38a, Title 38a: Insurance

Sec. 38a-490c. Coverage for craniofacial disorders. 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, amended, renewed or continued in this state on or a…

Sec. 38a-490d. Mandatory coverage for blood lead screening and risk assessment. 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, amended, renewed or con…

Sec. 38a-491. (Formerly Sec. 38-174h). Coverage for services performed by dentists in certain instances. Whenever the term “physician” or “doctor” is used in any individual health insurance policy delivered, issued for delivery or renewed in this state on or after October 1, 1975…

Sec. 38a-491a. Coverage for in-patient, outpatient or one-day dental services in certain instances. (a) 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,…

Sec. 38a-491b. Assignment of benefits to a dentist or oral surgeon. No insurer, health care center, hospital service corporation, medical service corporation or other entity delivering, issuing for delivery, renewing, continuing or amending any individual health insurance policy …

Sec. 38a-492. (Formerly Sec. 38-174i). Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed. No individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (10) and (11) of section 38a-469 sh…

Sec. 38a-492a. Mandatory coverage for hypodermic needles and syringes. Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 38a-469, delivered, issued for delivery, renewed, amended or …

Sec. 38a-492b. Coverage for certain off-label drug prescriptions. (a)(1) Each individual health insurance policy delivered, issued for delivery, renewed, amended or continued in this state, that provides coverage for prescription drugs approved by the federal Food and Drug Admini…

Sec. 38a-492c. Coverage for low protein modified food products, amino acid modified preparations and specialized formulas. (a) For purposes of this section: (1) “Inherited metabolic disease” includes (A) a disease for which newborn screening is required under section 19a-55; and …

Sec. 38a-492d. Mandatory coverage for diabetes screening, testing and treatment. (a) For the purposes of this section: (1) “Diabetes device” has the same meaning as provided in section 20-616; (2) “Diabetic ketoacidosis device” has the same meaning as provided in section 20-616; …

Sec. 38a-492e. Mandatory coverage for diabetes outpatient self-management training. (a) 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 or cont…

Sec. 38a-492f. Mandatory coverage for certain prescription drugs removed from formulary. 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, amend…

Sec. 38a-492g. Mandatory coverage for prostate cancer screening and treatment. 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 cont…

Sec. 38a-492h. Mandatory coverage for certain Lyme disease treatments. 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 or continued in this sta…

Sec. 38a-492i. Mandatory coverage for pain management. (a) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (10), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this …

Sec. 38a-492j. Mandatory coverage for ostomy-related supplies. 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 st…

Sec. 38a-492k. Mandatory coverage for colorectal cancer screening. (a) 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, amended, renewed or continued in…

Sec. 38a-492l. Mandatory coverage for neuropsychological testing for children diagnosed with cancer. 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, am…

Sec. 38a-492m. Mandatory coverage for certain renewals of prescription eye drops. 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, amended, renewed or c…

Sec. 38a-492n. Mandatory coverage for certain wound-care supplies. Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 that is delivered, issued for delivery, renewed, amended or continue…

Sec. 38a-492o. Mandatory coverage for bone marrow testing. (a) Subject to the provisions of subsection (b) of this section, each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, …

Sec. 38a-492p. Mandatory coverage for medically monitored inpatient detoxification. Each insurance company, hospital service corporation, medical service corporation, health care center, fraternal benefit society or other entity that delivers, issues for delivery, renews, amends …

Sec. 38a-492q. Mandatory coverage for essential health benefits. (a) For the purposes of this section, “essential health benefits” means health care services and benefits that fall within the following categories: (1) Ambulatory patient services; (2) Emergency services; (3) Hospi…

Sec. 38a-492r. Mandatory coverage for certain immunizations and consultation with health care provider. (a) 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 deliv…

Sec. 38a-492s. Mandatory coverage for certain preventive care and screenings for individuals who are twenty-one years of age or younger. (a) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38…

Sec. 38a-492t. Mandatory coverage for prosthetic devices. (a) As used in this section, “prosthetic device” means an artificial limb device to replace, in whole or in part, an arm or a leg, including a device that contains a microprocessor if such microprocessor-equipped device is…

Sec. 38a-492u. Coverage for psychotropic drugs. Standards re availability. Notwithstanding any provision of the general statutes, no individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 d…

Sec. 38a-492v. Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services. (a) As used in this section, “hospice care program” has the same meaning as provided in section 19a-122e. (b) Each individ…

Sec. 38a-492w. Medically necessary wheelchair repairs, replacements. Coverage requirements. (a) As used in this section, (1) “complex rehabilitation technology wheelchair” has the same meaning as provided in section 42-337, and (2) “medically necessary” means a written determinat…

Sec. 38a-492x. Mandatory coverage for coronary calcium scans. (a) As used in this section, “coronary calcium scan” means a computed tomography scan of the heart that looks for calcium deposits in the heart arteries. (b) Each individual health insurance policy providing coverage o…

Sec. 38a-493. (Formerly Sec. 38-174k). Mandatory coverage for home health care. Deductibles. Exception from deductible limits for medical savings accounts, Archer MSAs and health savings accounts. (a) Each individual health insurance policy providing coverage of the type specifie…

Sec. 38a-494. (Formerly Sec. 38-174l). Home health care by recognized nonmedical systems. Notwithstanding the provisions of section 38a-493, no insurer, health care center or issuer of any service plan contract for hospital or medical expense delivered, issued for delivery or ren…

Sec. 38a-495. (Formerly Sec. 38-174m). Medicare supplement policies. Coverage of home health aide services and mammography. Prescription drug riders. (a) As used in this section, “Medicare” means the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments…

Sec. 38a-495a. Medicare supplement policies and certificates. Minimum required policy benefits and standards. Regulations. (a) As used in this section: (1) “Applicant” means (A) in the case of an individual Medicare supplement policy, a person who seeks to contract for insurance …

Sec. 38a-495b. Medicare supplement policies and certificates. Definitions. (a) As used in sections 38a-473, 38a-474 and 38a-481, subsection (l) of section 38a-495a, sections 38a-495c and 38a-513 and this section, “Medicare” means the Health Insurance for the Aged Act, Title XVIII…

Sec. 38a-495c. Medicare supplement premium rates charged on a community rate basis. Age, gender, previous claim or medical history rating prohibited. Preexisting conditions. Coverage for the disabled and qualified Medicare beneficiaries. Exception. Regulations. (a) Each insurance…

Sec. 38a-495d. Refund of prepaid premium for Medicare supplement policies. Each insurance company, fraternal benefit society, hospital service corporation, medical service corporation, health care center or other entity which delivers or issues for delivery, continues or renews i…

Sec. 38a-496. (Formerly Sec. 38-174q). Coverage for occupational therapy. (a) For the purposes of this section: (1) “Occupational therapy” means services provided by a licensed occupational therapist in accordance with a plan of care established and approved in writing by a physi…

Sec. 38a-497. (Formerly Sec. 38-174r). Termination of coverage of child, stepchild, or other dependent child in individual policies. Dental or vision coverage. (a) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (10)…

Sec. 38a-497a. Group coverage and benefits of a noncustodial parent. National Medical Support Notice. Notification of new employer by IV-D agency. Notification to parent. Enrollment of child. (a) As used in this section (1) “insurer” has the same meaning as “insurer”, as defined …

Sec. 38a-498. (Formerly Sec. 38-174t). Mandatory coverage for medically necessary ambulance services. Direct payment to ambulance provider. (a) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (10), (11) and (12)…

Sec. 38a-498a. Prior authorization prohibited for certain 9-1-1 emergency calls or transporting enrollee to a hospital by ambulance when medically necessary. Denial of payment to ambulance provider responding to 9-1-1 local prehospital emergency medical service system call prohib…

Sec. 38a-498b. Mandatory coverage for mobile field hospital. Each individual health insurance policy providing coverage of the type specified in subdivisions (1) to (13), inclusive, of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state sha…

Sec. 38a-498c. Denial of coverage prohibited for health care services rendered to persons with an elevated blood alcohol content. No individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 deliver…

Sec. 38a-499. (Formerly Sec. 38-174v). Coverage for services of physician assistants and certain nurses. (a) For the purposes of this section: (1) “Advanced practice registered nurse” means any advanced practice registered nurse licensed under the provisions of chapter 378; (2) “…

Sec. 38a-499a. Coverage for telehealth services. (a) As used in this section, (1) “telehealth” has the same meaning as provided in section 19a-906, and (2) “telehealth provider” means any physician licensed under chapter 370, physical therapist licensed under chapter 376, chiropr…