§ 15-135. Covered benefits for annual preventive care.
(a) "Annual preventive care" defined.-
(1) In this section, "annual preventive care" means an annual preventive visit, screening, or examination that is a covered benefit under a policy or contract issued or delivered by an entity subject to this section.
(2) "Annual preventive care" includes, if the service is a covered benefit:
(i) an annual child wellness visit;
(ii) a routine gynecological visit;
(iii) a screening test or examination for colorectal cancer, chlamydia, human papillomavirus, prostate cancer, or breast cancer; and
(iv) an annual vision visit that includes a vision examination.
(b) Applicability.- This section applies to:
(1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and
(2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that are issued or delivered in the State.
(c) Coverage.- An entity subject to this section that provides covered benefits for annual preventive care shall provide coverage for the annual preventive care if:
(1) the annual preventive care is provided no more than once at any time during the plan year established in the policy or contract; and
(2) any other requirements for coverage of the annual preventive care are met.
(d) Construction.- This section may not be construed to require coverage for a service not otherwise required by law.
§ 15-135. Covered benefits for annual preventive care.
(a) "Annual preventive care" defined.-
(1) In this section, "annual preventive care" means an annual preventive visit, screening, or examination that is a covered benefit under a policy or contract issued or delivered by an entity subject to this section.
(2) "Annual preventive care" includes, if the service is a covered benefit:
(i) an annual child wellness visit;
(ii) a routine gynecological visit;
(iii) a screening test or examination for colorectal cancer, chlamydia, human papillomavirus, prostate cancer, or breast cancer; and
(iv) an annual vision visit that includes a vision examination.
(b) Applicability.- This section applies to:
(1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and
(2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that are issued or delivered in the State.
(c) Coverage.- An entity subject to this section that provides covered benefits for annual preventive care shall provide coverage for the annual preventive care if:
(1) the annual preventive care is provided no more than once at any time during the plan year established in the policy or contract; and
(2) any other requirements for coverage of the annual preventive care are met.
(d) Construction.- This section may not be construed to require coverage for a service not otherwise required by law.
§ 15-135. Covered benefits for annual preventive care.
(a) "Annual preventive care" defined.-
(1) In this section, "annual preventive care" means an annual preventive visit, screening, or examination that is a covered benefit under a policy or contract issued or delivered by an entity subject to this section.
(2) "Annual preventive care" includes, if the service is a covered benefit:
(i) an annual child wellness visit;
(ii) a routine gynecological visit;
(iii) a screening test or examination for colorectal cancer, chlamydia, human papillomavirus, prostate cancer, or breast cancer; and
(iv) an annual vision visit that includes a vision examination.
(b) Applicability.- This section applies to:
(1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and
(2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that are issued or delivered in the State.
(c) Coverage.- An entity subject to this section that provides covered benefits for annual preventive care shall provide coverage for the annual preventive care if:
(1) the annual preventive care is provided no more than once at any time during the plan year established in the policy or contract; and
(2) any other requirements for coverage of the annual preventive care are met.
(d) Construction.- This section may not be construed to require coverage for a service not otherwise required by law.
