Maine Revised Statutes Title 24-A Sec. 4320-S – Coverage for dental services for cancer patients
Current as of: 2023 | Check for updates
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1. Required coverage. Except as provided in subsection 2, a carrier offering a health plan in this State shall provide coverage for medically necessary dental procedures in accordance with the following for an enrollee who has been diagnosed with cancer.
A. Coverage must be provided for fluoride treatment and dental procedures that are medically necessary to reduce the risk of infection or eliminate infection or to treat tooth loss or decay in an enrollee prior to beginning cancer treatment, including chemotherapy, biological therapy or radiation therapy treatment. [PL 2021, c. 683, §1 (NEW).]
B. Coverage must be provided for dental procedures that are medically necessary to reduce the risk of infection or eliminate infection or to treat tooth loss or decay that are the direct or indirect result of cancer treatment, including chemotherapy, biological therapy or radiation therapy treatment. [PL 2021, c. 683, §1 (NEW).]
C. Coverage required under this subsection must include coverage for laboratory assessments, medications and treatments. [PL 2021, c. 683, §1 (NEW).]
[PL 2021, c. 683, §1 (NEW).]
Terms Used In Maine Revised Statutes Title 24-A Sec. 4320-S
- Carrier: means :
A. See Maine Revised Statutes Title 24-A Sec. 4301-AEnrollee: means an individual who is enrolled in a health plan or a managed care plan. See Maine Revised Statutes Title 24-A Sec. 4301-A Health plan: means a plan offered or administered by a carrier that provides for the financing or delivery of health care services to persons enrolled in the plan, other than a plan that provides only accidental injury, specified disease, hospital indemnity, Medicare supplement, disability income, long-term care or other limited benefit coverage not subject to the requirements of the federal Affordable Care Act. See Maine Revised Statutes Title 24-A Sec. 4301-A
2. Routine preventive dental care not required. A carrier is not required to provide coverage for routine preventive dental care, including cleaning and sealants.
[PL 2021, c. 683, §1 (NEW).]
Revisor’s Note: §4320-S. Coverage for fertility services (As enacted by PL 2021, c. 692, §1 is REALLOCATED TO TITLE 24-A, SECTION 4320-U)
SECTION HISTORY
PL 2021, c. 683, §1 (NEW).