New York A02384 requires insurers to cover treatment for rare diseases, life-threatening conditions, degenerative and disabling conditions, or.
New York A02384 mandates that insurers provide coverage for treatment of rare diseases, life-threatening conditions or diseases, degenerative and disabling conditions, or diagnoses involving medically fragile children by a provider of the patient's choice. This coverage is contingent on the chosen provider's costs being equal to or less than those of a local network provider with a similar subspecialty. Additionally, the patient's treating specialist or primary care provider must provide a written statement recommending the chosen provider for the particular disease.
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- Legal Framework
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