New Jersey S374 mandates health benefits coverage for lipedema treatment.
New Jersey S374 requires health insurers to cover expenses for lipedema treatment, including compression garments, manual lymphatic drainage, medical nutrition therapy, mental health care, lipectomy, and related appointments. Insurers must provide a detailed explanation if they deny coverage and cannot base denials solely on photographs. Prior authorization for lipectomies is valid for one year. Coverage must align with the current standard of care for lipedema.
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