(1) All policies providing health insurance, as defined in ORS 731.162, except those policies whose coverage is limited to expenses from accidents or specific diseases that are unrelated to the coverage required by this section, shall include coverage for a nonprescription elemental enteral formula for home use, if the formula is medically necessary for the treatment of severe intestinal malabsorption and a physician has issued a written order for the formula and the formula comprises the sole source, or an essential source, of nutrition.
(2) The coverage required by subsection (1) of this section may be made subject to provisions of the policy that apply to other benefits under the policy including, but not limited to, provisions related to deductibles and coinsurance. Deductibles and coinsurance for elemental enteral formulas shall be no greater than those for any other treatment for the condition under the policy. [Formerly 743.729]
Note: See 743A.001.Section: Previous 743A.048 743A.050 743A.060 743A.062 743A.064 743A.066 743A.068 743A.070 743A.080 743A.084 743A.088 743A.090 743A.100 743A.104 743A.108 Next
Last modified: August 7, 2008