New Jersey Revised Statutes § 52:14-17.29m - State Health Benefits Plan To Provide Benefits For Orthotic And Prosthetic Appliances.

52:14-17.29m State health benefits plan to provide benefits for orthotic and prosthetic appliances.

9.The State Health Benefits Commission shall ensure that every contract purchased by the commission on or after the effective date of this act that provides hospital or medical expense benefits, shall provide benefits to any person covered thereunder for expenses incurred in obtaining an orthotic or prosthetic appliance from any licensed orthotist or prosthetist, or any certified pedorthist, as determined medically necessary by the covered person's physician.

As used in this section, "orthotic appliance," "prosthetic appliance," "licensed orthotist" and "licensed prosthetist" have the meaning assigned to them in section 3 of P.L.1991, c.512 (C.45:12B-3) and "certified pedorthist" has the meaning assigned to it in subsection j. of section 18 of P.L.1991, c.512 (C.45:12B-18).

b.On and after the effective date of this act, a contract purchased by the commission shall reimburse for orthotic and prosthetic appliances at the same rate as reimbursement for such appliances under the federal Medicare reimbursement schedule.

c.The benefits shall be provided to the same extent as for any other medical condition under the contract.

L.2007, c.345, s.9.


Section: Previous  52-14-17.29f  52-14-17.29g  52-14-17.29h  52-14-17.29i  52-14-17.29j  52-14-17.29k  52-14-17.29l  52-14-17.29m  52-14-17.29n  52-14-17.29o  52-14-17.29p  52-14-17.29r  52-14-17.29s  52-14-17.29t  52-14-17.30  Next

Last modified: October 11, 2016