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