New Jersey A5181 mandates insurance coverage for pain management services related to outpatient gynecological procedures.
New Jersey A5181 requires various health insurers to cover pain management services related to outpatient gynecological procedures. This includes health, hospital, and medical service corporations, health maintenance organizations, and individual and group health insurers. The bill also applies to the State Medicaid and NJ FamilyCare programs, ensuring no cost-sharing for eligible enrollees. Insurers cannot label these services as elective or medically unnecessary. The benefits must be provided to the same extent as for any other condition under the contract or policy.
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