2006 Louisiana Laws - RS 40:2209 — Requirements for reconstructive surgery coverage
§2209. Requirements for reconstructive surgery coverage
A. Every preferred provider organization regulated by this Part which provides coverage for mastectomy surgery shall provide coverage for reconstruction of the breast on which surgery has been performed and surgery and reconstruction of the other breast to produce a symmetrical appearance. The coverage required by this Section shall be subject to the reconstructive surgery or surgeries which are part of the treatment plan agreed to by the patient and the attending physician. The coverage for the reconstructive surgery shall only be required if the reconstructive surgery is performed under the same policy or plan under which the mastectomy was performed. This coverage shall be subject to the same deductible, co-insurance, and copayment provisions applicable to the coverage for mastectomy surgery.
B. The provisions of this Section shall not apply to individually underwritten limited benefit and supplemental health insurance policies.
Acts 1997, No. 1341, §2.
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