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New health insurance laws in Maryland taking effect regarding lymphedema aswell

Several other states, including California, Massachusetts, North Carolina and Virginia, mandate health insurance coverage for lymphedema, according to an analysis of the law by the Maryland Department of Legislative Services. North Carolina and Virginia specifically mandate coverage for equipment, supplies and self-management training.

A December 2016 report prepared for the Maryland Health Care Commission found an estimated 7,400 fully insured people in the state had lymphedema in 2014. The report by NovaRest, Inc. also found that the mandate would not have a material impact on utilization or the total cost of health care in Maryland. While all insurance carriers provide coverage for lymphedema when medically necessary, coverage limits such as maximum allowable benefit or number of visits may apply.

Here’s a look at some other new laws affecting health insurance coverage in Maryland:

FERTILITY AWARENESS

A new law will require insurers to cover instruction by a licensed health care provider on “fertility awareness-based methods,” which are ways of identifying times of fertility and infertility to avoid pregnancy.

FERTILITY PRESERVATION

Health insurers will be required to cover fertility preservation procedures for people who need medical treatment that could directly or indirectly cause “iatrogenic infertility,” which is infertility caused by cancer treatments.

LOCAL HEALTH DEPARTMENTS

Insurers will be required to compensate local health departments that provide behavioral health services in parts of the state where local health departments are the only providers of behavioral health services.






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