- A. Subject to the limitations set forth in this section and Sections 3 and 4 of this act, any health benefit plan that is offered, issued, or renewed in this state on or after the effective date of this act shall provide benefits for treatment of severe mental illness.
B. The provisions of subsection A of this section shall pertain to all aspects of any health benefit plan that is offered, issued, or renewed in this state. Benefits required by subsection A of this section shall be equal to benefits for treatment of and shall be subject to the same preauthorization and utilization review mechanisms and other terms and conditions as all other physical diseases and disorders, including, but not limited to:
- 1. Coverage of inpatient hospital services for either twenty-six (26) days or the limit for other covered illnesses, whichever is greater;
- 2. Coverage of outpatient services;
- 3. Coverage of medication;
- 4. Maximum lifetime benefits;
- 5. Co-payments;
- 6. Coverage of home health visits;
- 7. Individual and family deductibles; and
- 8. Co-insurance.
- C. The provisions of subsection A of this section shall not apply to coverage provided by a health benefit plan for a small employer.
Added by Laws 1999, SB 2, c. 153, § 1, eff. January 1, 2000.