New Jersey S4559 mandates coverage for lymphedema diagnosis, evaluation, and treatment by health insurers and health benefits programs.
New Jersey S4559 requires health insurers, the State Health Benefits Program, and the School Employees' Health Benefits Program to cover expenses for the diagnosis, evaluation, and treatment of lymphedema deemed medically necessary by a physician. The bill applies to various health benefit plans and contracts, ensuring that benefits are provided to the same extent and with the same cost-sharing as similar services. Lymphedema, a condition caused by lymphatic system abnormalities, can lead to chronic inflammation and skin hardening if left untreated.
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