500.3406a Reconstructive surgery following mastectomy; prosthetic device.
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500.3406a Reconstructive surgery following mastectomy; prosthetic device.
Sec. 3406a.
An insurer that delivers, issues for delivery, or renews in this state a health insurance policy shall offer benefits for prosthetic devices to maintain or replace the body parts of an individual who has undergone a mastectomy. This coverage must provide that reasonable charges for medical care and attendance for an individual who receives reconstructive surgery following a mastectomy or who is fitted with a prosthetic device are covered benefits after the individual's attending physician has certified the medical necessity or desirability of a proposed course of rehabilitative treatment.
The cost and fitting of a prosthetic device following a mastectomy is included within the type of coverage required under this section.
History: Add. 1982, Act 527, Eff. Mar. 30, 1983 ;-- Am. 2016, Act 276 , Imd. Eff. July 1, 2016
Popular Name: Act 218