2012 Kentucky Revised Statutes
CHAPTER 304 INSURANCE CODE
SUBTITLE 17A. Health Benefit Plans
17A..149 Coverage for anesthesia and services in connection with dental procedures for certain patients.
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<![CDATA[304.17A-149 Coverage for anesthesia and services in connection with dental
procedures for certain patients.
All health benefit plans issued or renewed on or after July 15, 2002, that provide coverage
for general anesthesia and hospitalization services to a covered person shall provide
coverage for payment of anesthesia and hospital or facility charges for services performed
in a hospital or ambulatory surgical facility in connection with dental procedures for
children below the age of nine (9) years, persons with serious mental or physical
conditions, and persons with significant behavioral problems, where the dentist treating
the patient or admitting physician involved certifies that, because of the patient's age or
condition or problem, hospitalization or general anesthesia is required in order to safely
and effectively perform the procedures. This section does not require coverage for routine
dental care, including the diagnosis or treatment of disease or other dental conditions and
procedures not covered in this section. The same deductibles, coinsurance, network
requirements, medical necessity provisions, and other limitations as apply to physical
illness benefits under the health benefit plan shall apply to coverage for anesthesia and
hospital or facility charges required to be covered under this section.
Effective: July 15, 2002
History: Created 2002 Ky. Acts ch. 199, sec. 1, effective July 15, 2002.
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