Rulemaking and regulatory authorization; board to determine inclusion of benefits within coverage; exclusions.
The Alabama Insurance Board shall promulgate such rules and regulations as may be required for the effective administration of this article. The board shall by regulation determine which medical benefits shall be included within the coverage. The benefits shall include, but not be limited to, prescribed drugs, prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses indemnity benefits. The benefits shall not include:
(1) Expenses incurred by or on account of an insured or his or her dependent prior to the effective date of the plan.
(2) Hearing aids.
(3) Cosmetic surgery or treatment, except to the extent necessary for correction of damages caused by accidental injury while covered by the plan or as a direct result of a disease covered by the plan.
(4) Services received in a hospital owned or operated by the United States government for which no charge is made.
(5) Services received for injury or sickness due to war or any act of war, whether declared or undeclared, which war or act of war shall have occurred after the effective date of this plan.
(6) Expenses for which the individual is not required to make payment.
(7) Such other expenses as may be excluded by regulations of the board.
Rulemaking and regulatory authorization; board to determine inclusion of benefits within coverage; exclusions.
The Alabama Insurance Board shall promulgate such rules and regulations as may be required for the effective administration of this article. The board shall by regulation determine which medical benefits shall be included within the coverage. The benefits shall include, but not be limited to, prescribed drugs, prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses indemnity benefits. The benefits shall not include:
(1) Expenses incurred by or on account of an insured or his or her dependent prior to the effective date of the plan.
(2) Hearing aids.
(3) Cosmetic surgery or treatment, except to the extent necessary for correction of damages caused by accidental injury while covered by the plan or as a direct result of a disease covered by the plan.
(4) Services received in a hospital owned or operated by the United States government for which no charge is made.
(5) Services received for injury or sickness due to war or any act of war, whether declared or undeclared, which war or act of war shall have occurred after the effective date of this plan.
(6) Expenses for which the individual is not required to make payment.
(7) Such other expenses as may be excluded by regulations of the board.
Rulemaking and regulatory authorization; board to determine inclusion of benefits within coverage; exclusions.
The Alabama Insurance Board shall promulgate such rules and regulations as may be required for the effective administration of this article. The board shall by regulation determine which medical benefits shall be included within the coverage. The benefits shall include, but not be limited to, prescribed drugs, prosthetic appliances, hospital inpatient and outpatient service benefits, and medical expenses indemnity benefits. The benefits shall not include:
(1) Expenses incurred by or on account of an insured or his or her dependent prior to the effective date of the plan.
(2) Hearing aids.
(3) Cosmetic surgery or treatment, except to the extent necessary for correction of damages caused by accidental injury while covered by the plan or as a direct result of a disease covered by the plan.
(4) Services received in a hospital owned or operated by the United States government for which no charge is made.
(5) Services received for injury or sickness due to war or any act of war, whether declared or undeclared, which war or act of war shall have occurred after the effective date of this plan.
(6) Expenses for which the individual is not required to make payment.
(7) Such other expenses as may be excluded by regulations of the board.
