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304.18-130 Policies to cover treatment for alcoholism -- Exclusions.
(1)
(2)
(3)
Except as otherwise expressly provided herein, no contract providing major
medical or outpatient care benefits, issued pursuant to Subtitles 18, 32, and 38
of KRS Chapter 304, shall be sold or offered for sale in the Commonwealth of
Kentucky unless such contract offers the master policyholder the option to
purchase in new contracts the minimum benefits for treatment of alcoholism as
specified in KRS 304.18-140.
Coverage for treatment shall be divided into three (3) distinct phases:
(a) Emergency detoxification treatment;
(b) Residential treatment; and
(c) Outpatient treatment.
Such contracts shall contain a stipulation that no payment shall be made by the
carrier to the provider except upon completion of the phase of program of
treatment by the patient, under the guidance and direction of a physician
licensed to practice in the Commonwealth or a professional, designated by
such physician, who is a recognized staff member of a treatment facility
licensed by the department or accredited by the Joint Commission on the
Accreditation of Hospitals.
Disability and accident income benefits and basic health care contracts that do
not provide major medical or outpatient care are excluded from KRS
304.18-130 to 304.18-180.
Effective:July 15, 2010
History: Amended 2010 Ky. Acts ch. 24, sec. 1299, effective July 15, 2010. -Amended 1980 Ky. Acts ch. 290, sec. 1, effective July 15, 1980. -- Created 1978
Ky. Acts ch. 131, sec. 1, effective January 1, 1979.
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