Ensuring Lasting Smiles Act mandates health insurance coverage for congenital anomalies and birth defects affecting eyes, ears, teeth, mouth, or jaw.
The Ensuring Lasting Smiles Act requires group health plans and health insurance issuers to cover outpatient and inpatient items and services related to the diagnosis and treatment of congenital anomalies or birth defects impacting the eyes, ears, teeth, mouth, or jaw. This includes reconstructive services, dental support, and follow-up treatment. Cosmetic surgery for appearance or self-esteem is excluded unless medically necessary due to a congenital anomaly or birth defect.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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