New York S04961 mandates insurance coverage for cranial prostheses for diagnosed health conditions, chronic illnesses, or injuries.
New York S04961 amends the insurance law to require coverage for cranial prostheses, such as wigs or hairpieces, for individuals experiencing permanent or temporary medical hair loss. This applies to health conditions, chronic illnesses, or injuries including alopecia areata, alopecia medicamentosa, scarring alopecia, and lupus. The coverage is limited to one prosthesis per year and up to $750 per instance, subject to applicable cost-sharing requirements. The law applies to policies issued, delivered, renewed, or modified on or after the effective date of the act.
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