2011 Kentucky Revised Statutes Subtitle 17A. Health Benefit Plans 304.17A.096 Basic health benefit plans permitted for individual, small group, and association markets -- Required coverage -- Exclusions from coverage.
KY Rev Stat § 304.17A.096 (1996 through Reg Sess) What's This?
304.17A-096 Basic health benefit plans permitted for individual, small group, and
association markets -- Required coverage -- Exclusions from coverage.
(1)
(2)
(3)
(4)
An insurer authorized to engage in the business of insurance in the Commonwealth
of Kentucky may offer one (1) or more basic health benefit plans in the individual,
small group, and employer-organized association markets. A basic health benefit
plan shall cover physician, pharmacy, home health, preventive, emergency, and
inpatient and outpatient hospital services in accordance with the requirements of
this subtitle. If vision or eye services are offered, these services may be provided by
an ophthalmologist or optometrist.
An insurer that offers a basic health benefit plan shall be required to offer health
benefit plans as defined in KRS 304.17A-005(22).
An insurer in the individual, small group, or employer-organized association
markets that offers a basic health benefit plan may offer a basic health benefit plan
that excludes from coverage any state-mandated health insurance benefit, except
that the basic health benefit plan shall include coverage for diabetes as provided in
KRS 304.17A-148, hospice as provided in KRS 304.17A-250(6), chiropractic
benefits as provided in KRS 304.17A-171, mammograms as provided in KRS
304.17A-133, and those mandated benefits specified under federal law.
Notwithstanding any other provisions of this section, mandated benefits excluded
from coverage shall not be deemed to include the payment, indemnity, or
reimbursement of specified health care providers for specific health care services.
Effective: July 15, 2008
History: Amended 2008 Ky. Acts ch. 147, sec. 1, effective July 15, 2008. -- Amended
2006 Ky. Acts ch. 253, sec. 4, effective July 12, 2006. -- Created 2005 Ky. Acts
ch. 144, sec. 2, effective June 20, 2005.
Disclaimer: These codes may not be the most recent version. Kentucky may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.