A. Notwithstanding the provisions of § 38.2-3419, each insurer proposing toissue individual or group accident and sickness insurance policies providinghospital, medical and surgical, or major medical, coverage on anexpense-incurred basis; each corporation providing individual or groupaccident and sickness subscription contracts; and each health maintenanceorganization providing a health care plan for health care services shallprovide coverage for lymphedema as provided in this section.
B. Coverage under this section shall include benefits for equipment,supplies, complex decongestive therapy, and outpatient self-managementtraining and education for the treatment of lymphedema, if prescribed by ahealth care professional legally authorized to prescribe or provide suchitems under law.
C. A managed care health insurance plan, as defined in Chapter 58 (§38.2-5800 et seq.) of this title, may require such health care professionalto be a member of the plan's provider network, provided that such networkincludes sufficient health care professionals who are qualified by specificeducation, experience, and credentials to provide the covered benefitsdescribed in this section.
D. No insurer, corporation, or health maintenance organization shall imposeupon any person receiving benefits pursuant to this section any copayment,fee, policy year or calendar year, or durational benefit limitation ormaximum for benefits or services that is not equally imposed upon allindividuals in the same benefit category.
E. The requirements of this section shall apply to all insurance policies,contracts and plans delivered, issued for delivery, reissued, or extended inthis Commonwealth on and after January 1, 2004, or at any time thereafterwhen any term of the policy, contract or plan is changed or any premiumadjustment is made.
F. This section shall not apply to short-term travel, accident only, limitedor specified disease, or individual conversion policies or contracts, nor topolicies or contracts designed for issuance to persons eligible for coverageunder Title XVIII of the Social Security Act, known as Medicare, or any othersimilar coverage under state or federal governmental plans.
A. Notwithstanding the provisions of § 38.2-3419, each insurer proposing toissue individual or group accident and sickness insurance policies providinghospital, medical and surgical, or major medical, coverage on anexpense-incurred basis; each corporation providing individual or groupaccident and sickness subscription contracts; and each health maintenanceorganization providing a health care plan for health care services shallprovide coverage for lymphedema as provided in this section.
B. Coverage under this section shall include benefits for equipment,supplies, complex decongestive therapy, and outpatient self-managementtraining and education for the treatment of lymphedema, if prescribed by ahealth care professional legally authorized to prescribe or provide suchitems under law.
C. A managed care health insurance plan, as defined in Chapter 58 (§38.2-5800 et seq.) of this title, may require such health care professionalto be a member of the plan's provider network, provided that such networkincludes sufficient health care professionals who are qualified by specificeducation, experience, and credentials to provide the covered benefitsdescribed in this section.
D. No insurer, corporation, or health maintenance organization shall imposeupon any person receiving benefits pursuant to this section any copayment,fee, policy year or calendar year, or durational benefit limitation ormaximum for benefits or services that is not equally imposed upon allindividuals in the same benefit category.
E. The requirements of this section shall apply to all insurance policies,contracts and plans delivered, issued for delivery, reissued, or extended inthis Commonwealth on and after January 1, 2004, or at any time thereafterwhen any term of the policy, contract or plan is changed or any premiumadjustment is made.
F. This section shall not apply to short-term travel, accident only, limitedor specified disease, or individual conversion policies or contracts, nor topolicies or contracts designed for issuance to persons eligible for coverageunder Title XVIII of the Social Security Act, known as Medicare, or any othersimilar coverage under state or federal governmental plans.
A. Notwithstanding the provisions of § 38.2-3419, each insurer proposing toissue individual or group accident and sickness insurance policies providinghospital, medical and surgical, or major medical, coverage on anexpense-incurred basis; each corporation providing individual or groupaccident and sickness subscription contracts; and each health maintenanceorganization providing a health care plan for health care services shallprovide coverage for lymphedema as provided in this section.
B. Coverage under this section shall include benefits for equipment,supplies, complex decongestive therapy, and outpatient self-managementtraining and education for the treatment of lymphedema, if prescribed by ahealth care professional legally authorized to prescribe or provide suchitems under law.
C. A managed care health insurance plan, as defined in Chapter 58 (§38.2-5800 et seq.) of this title, may require such health care professionalto be a member of the plan's provider network, provided that such networkincludes sufficient health care professionals who are qualified by specificeducation, experience, and credentials to provide the covered benefitsdescribed in this section.
D. No insurer, corporation, or health maintenance organization shall imposeupon any person receiving benefits pursuant to this section any copayment,fee, policy year or calendar year, or durational benefit limitation ormaximum for benefits or services that is not equally imposed upon allindividuals in the same benefit category.
E. The requirements of this section shall apply to all insurance policies,contracts and plans delivered, issued for delivery, reissued, or extended inthis Commonwealth on and after January 1, 2004, or at any time thereafterwhen any term of the policy, contract or plan is changed or any premiumadjustment is made.
F. This section shall not apply to short-term travel, accident only, limitedor specified disease, or individual conversion policies or contracts, nor topolicies or contracts designed for issuance to persons eligible for coverageunder Title XVIII of the Social Security Act, known as Medicare, or any othersimilar coverage under state or federal governmental plans.
