North Carolina General Statutes 58-51-61. Coverage for certain treatment for diabetes
Terms Used In North Carolina General Statutes 58-51-61
- Contract: A legal written agreement that becomes binding when signed.
- state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 12-3
(a) Every policy or contract of accident or health insurance, and every preferred provider benefit plan under N.C. Gen. Stat. § 58-50-56, that is issued, renewed, or amended on or after October 1, 1997, shall provide coverage for medically appropriate and necessary services, including diabetes outpatient self-management training and educational services, and equipment, supplies, medications, and laboratory procedures used to treat diabetes. Diabetes outpatient self-management training and educational services shall be provided by a physician or a health care professional designated by the physician. The insurer shall determine who shall provide and be reimbursed for the diabetes outpatient self-management training and educational services. The same deductibles, coinsurance, and other limitations as apply to similar services covered under the policy, contract, or plan shall apply to the diabetes coverage required under this section.
(b) For the purposes of this section, “physician” is a person licensed to practice in this State under Article 1 or Article 7 of Chapter 90 of the N.C. Gen. Stat.. (1997-225, s. 1; 1997-519, s. 3.11.)