Pennsylvania HB1391 mandates insurance coverage for custom-fabricated and custom-fitted devices, orthosis, orthotics, over-the-counter prostheses.
Pennsylvania HB1391 amends the Insurance Company Law of 1921 to require health insurance policies to cover custom-fabricated and custom-fitted devices, orthosis, orthotics, over-the-counter prostheses, orthoses, and pedorthic devices. These devices must be prescribed by a physician, podiatrist, certified registered nurse practitioner, or physician assistant. Coverage extends to fitting, repair, or replacement deemed medically necessary. The act specifies that devices must be rendered by licensed professionals and provided by licensed fitters or practitioners.
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- Legal Framework
- Critical Issues
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