New Jersey A2718 requires continued coverage of prescription drugs for complex or chronic medical conditions and rare diseases during appeals.
New Jersey A2718 mandates that various health insurance policies and contracts continue to cover prescription drugs for individuals with complex or chronic medical conditions or rare diseases during the appeals process. This includes health maintenance organizations, health service corporations, hospital service corporations, medical service corporations, and health benefits plans. The bill defines "complex or chronic medical condition" as a physical, behavioral, or developmental condition without a known cure that can be severely debilitating or fatal if untreated.
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