Title 38a, Title 38a: Insurance

Sec. 38a-516b. Coverage for hearing aids. Each group 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…

Sec. 38a-516c. Coverage for craniofacial disorders. Each group 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 after …

Sec. 38a-516d. Coverage for neuropsychological testing for children diagnosed with cancer. Each group 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 …

Sec. 38a-517. Coverage for services performed by dentist in certain instances. Whenever the term “physician” or “doctor” is used in any group health insurance policy delivered, issued for delivery or renewed in this state on or after October 1, 1975, it shall be deemed to include…

Sec. 38a-517a. Coverage for in-patient, outpatient or one-day dental services in certain instances. (a) Each group 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, rene…

Sec. 38a-517b. 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 group health insurance policy in th…

Sec. 38a-518. Coverage for accidental ingestion or consumption of controlled drugs. Benefits prescribed. No group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6) and (11) of section 38a-469 shall be delivered, issued for deliver…

Sec. 38a-518a. Mandatory coverage for hypodermic needles and syringes. Each group 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 conti…

Sec. 38a-518b. Coverage for certain off-label drug prescriptions. (a)(1) Each group 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 Administrat…

Sec. 38a-518c. 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-518d. 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-518e. Mandatory coverage for diabetes outpatient self-management training. (a) Each group 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…

Sec. 38a-518f. Mandatory coverage for certain prescription drugs removed from formulary. Each group 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…

Sec. 38a-518g. Mandatory coverage for prostate cancer screening and treatment. Each group 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…

Sec. 38a-518h. Mandatory coverage for certain Lyme disease treatments. Each group 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 state on…

Sec. 38a-518i. Mandatory coverage for pain management. (a) Each group 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 state…

Sec. 38a-518j. Mandatory coverage for ostomy-related supplies. Each group 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 t…

Sec. 38a-518k. Mandatory coverage for colorectal cancer screening. (a) Each group 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…

Sec. 38a-518l. Mandatory coverage for certain renewals of prescription eye drops. Each group 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 contin…

Sec. 38a-518m. Mandatory coverage for certain wound-care supplies. Each group 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 continued in …

Sec. 38a-518o. Mandatory coverage for bone marrow testing. (a) Subject to the provisions of subsection (b) of this section, each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issue…

Sec. 38a-518p. Mandating 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-518q. Mandatory coverage for essential health benefits. (a) For the purposes of this section: (1) “Employee” has the same meaning as specified in section 38a-564. (2) “Essential health benefits” means health care services and benefits that fall within the following categ…

Sec. 38a-518r. Mandatory coverage for certain immunizations and consultation with health care provider. (a) Each group 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-518s. Mandatory coverage for certain preventive care and screenings for individuals who are twenty-one years of age or younger. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469…

Sec. 38a-518t. 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-518u. Coverage for psychotropic drugs. Standards re availability. Notwithstanding any provision of the general statutes, no group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 delive…

Sec. 38a-518v. Mandatory coverage for hospice services in the 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 group health…

Sec. 38a-518w. 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-518x. Mandatory coverage of 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 group health insurance policy providing coverage of the …

Sec. 38a-519. (Formerly Sec. 38-174j). Offset proviso prohibited in certain policies. Required disclosures for group long-term disability policies. (a) No group health insurance policy that provides disability income protection coverage, delivered, issued for delivery, renewed, a…

Sec. 38a-520. Mandatory coverage for home health care. Deductibles. Exception from deductible limits for medical savings accounts. Archer MSAs and health savings accounts. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4…

Sec. 38a-521. Home health care by recognized nonmedical systems. Notwithstanding the provisions of section 38a-520, no insurer, health care center or issuer of any service plan contract for hospital or medical expense delivered, issued for delivery or renewed in this state shall …

Sec. 38a-522. Medicare supplement policies. Coverage of home health aide service. (a) As used in this section, “Medicare” means the Health Insurance for the Aged Act, Title XVIII of the Social Security Amendments of 1965, as amended (Title I, Part I of P.L. 89-97); “Medicare supp…

Sec. 38a-523. (Formerly Sec. 38-174p). Group hospital or medical insurance coverage for comprehensive rehabilitation services. (a) For the purposes of this section: (1) “Comprehensive rehabilitation services” shall consist of the following when provided in a comprehensive rehabil…

Sec. 38a-524. 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 physician licensed in accordan…

Sec. 38a-525. Mandatory coverage for medically necessary ambulance services. Direct payment to ambulance provider. (a) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (6), (11) and (12) of section 38a-469 delivered, issue…

Sec. 38a-525a. 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-525b. Mandatory coverage for mobile field hospital. Each group 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 shall pr…

Sec. 38a-525c. Denial of coverage prohibited for health care services rendered to persons with an elevated blood alcohol content. No group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, i…

Sec. 38a-526. Coverage for services of physician assistants and certain nurses. (a) For the purposes of this section: (1) “Certified nurse practitioner” means any registered nurse licensed under chapter 378 who has completed a formal educational nurse practitioner program and is …

Sec. 38a-526a. 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…

Sec. 38a-527. Mandatory coverage for partners, sole proprietors and corporate officers for work-related injuries. (a) Notwithstanding any other provision of the general statutes, no group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (…

Sec. 38a-528. Group long-term care policies. Insurers authorized. Disclosures. Premium rate increases of twenty per cent or more. Disclosure of premium rate increase and minimum set of affordable benefit options. (a)(1) As used in this section and section 38a-475a, “long-term car…

Sec. 38a-528a. Group short-term care policies. Approval of rates and forms. Disclosures. Regulations. (a) As used in this section, “short-term care policy” means any group health insurance policy or certificate delivered or issued for delivery to any resident of this state that i…

Sec. 38a-529. Mandatory coverage for services provided by the Healthcare Center maintained by the Department of Veterans Affairs. No group health insurance policy delivered, issued for delivery or renewed in this state on or after October 1, 1988, may exclude coverage for service…