New York A11406 mandates health insurance coverage for prosthetic and orthotic devices at a rate no less than the current quarter's Medicare fee.
New York A11406 amends the insurance, social services, and public health laws to require health insurance coverage for prosthetic and orthotic devices. The coverage must be at a rate no less than the current quarter's Medicare durable medical equipment, prosthetics, orthotics, and supplies fee schedule. The bill also mandates that insurers cannot deny prosthetic or orthotic benefits for individuals with limb loss or absence if the benefit would otherwise be covered for a non-disabled individual. Coverage includes prosthetic or orthotic devices, necessary repairs, and replacement parts.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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