62A.3093 COVERAGE FOR DIABETES.
256 words·~1 min read·
/mn/chapter-62/62a-3093A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
62A.3093 COVERAGE FOR DIABETES.
§
Subdivision 1. Required coverage.
A health plan, including a plan providing the coverage specified in section 62A.011, subdivision 3 , clause (10), must provide coverage for:
(1)all physician prescribed medically appropriate and necessary equipment and supplies used in the management and treatment of diabetes; and
(2)diabetes outpatient self-management training and education, including medical nutrition therapy, that is provided by a certified, registered, or licensed health care professional working in a program consistent with the national standards of diabetes self-management education as established by the American Diabetes Association. Coverage must include persons with gestational, type I or type II diabetes. Coverage required under this section is subject to the same deductible or coinsurance provisions applicable to the plan's hospital, medical expense, medical equipment, or prescription drug benefits. A health carrier may not reduce or eliminate coverage due to this requirement.
§
Subd. 2. Medicare Part D exception.
A health plan providing the coverage specified in section 62A.011 , subdivision 3, clause (10), is not subject to the requirements of subdivision 1, clause (1), with respect to equipment and supplies covered under the Medicare Part D Prescription Drug program, whether or not the covered person is enrolled in a Medicare Part D plan.
This subdivision does not apply to a health plan providing the coverage specified in section 62A.011 , subdivision 3, clause (10), that was in effect on December 31, 2005, if the covered person remains enrolled in the plan and does not enroll in a Medicare Part D plan.