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2017 Maryland Code
Insurance
Title 15 - Health Insurance
Subtitle 1 - General Provisions
§ 15-135. Covered benefits for annual preventive care
Universal Citation: MD Ins Code § 15-135 (2017)
- (a) "Annual preventive care" defined. --
- (1) In this section, "annual preventive care" means an annual preventive visit, screening, or examination that is a covered benefit under a policy or contract issued or delivered by an entity subject to this section.
- (2) "Annual preventive care" includes, if the service is a covered benefit:
- (i) an annual child wellness visit;
- (ii) a routine gynecological visit;
- (iii) a screening test or examination for colorectal cancer, chlamydia, human papillomavirus, prostate cancer, or breast cancer; and
- (iv) an annual vision visit that includes a vision examination.
- (b) Applicability. -- This section applies to:
- (1) insurers and nonprofit health service plans that provide hospital, medical, or surgical benefits to individuals or groups on an expense-incurred basis under health insurance policies or contracts that are issued or delivered in the State; and
- (2) health maintenance organizations that provide hospital, medical, or surgical benefits to individuals or groups under contracts that are issued or delivered in the State.
- (c) Coverage. -- An entity subject to this section that provides covered benefits for annual preventive care shall provide coverage for the annual preventive care if:
- (1) the annual preventive care is provided no more than once at any time during the plan year established in the policy or contract; and
- (2) any other requirements for coverage of the annual preventive care are met.
- (d) Construction. -- This section may not be construed to require coverage for a service not otherwise required by law.
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