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§27-20-48  Mandatory coverage for certain lyme disease treatments. –


Published: 2015

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TITLE 27

Insurance

CHAPTER 27-20

Nonprofit Medical Service Corporations

SECTION 27-20-48



   § 27-20-48  Mandatory coverage for certain

lyme disease treatments. –

Every individual or group hospital or medical expense insurance policy or

individual or group hospital or medical services plan contract delivered,

issued for delivery, or renewed in this state on or after January 1, 2004 shall

provide coverage for diagnostic testing and long-term antibiotic treatment of

chronic lyme disease when determined to be medically necessary and ordered by a

physician acting in accordance with chapter 37.5 of title 5 entitled "lyme

disease diagnosis and treatment" after making a thorough evaluation of the

patient's symptoms, diagnostic test results and response to treatment.

Treatment otherwise eligible for benefits pursuant to this section shall not be

denied solely because such treatment may be characterized as unproven,

experimental, or investigational in nature.



History of Section.

(P.L. 2003, ch. 113, § 5; P.L. 2003, ch. 114, § 5; P.L. 2004, ch. 34,

§ 4; P.L. 2004, ch. 35, § 4.)