Require insurance coverage of conditions involving facial bones
Impact
If enacted, HB 730 would amend the Montana Code Annotated, specifically sections 33-31-111 and 33-35-306, to ensure that insurance policies cover a broader range of procedures for facial and jaw conditions. This change is expected to enhance access to necessary medical treatments for individuals facing skeletal issues in these areas, aligning insurance practices with medical recommendations. The bill further stipulates that any special provisions, such as additional deductibles or copayments specifically for these treatments, cannot be more restrictive than those applied to other similar procedures under the insurance policies.
Summary
House Bill 730 proposes that every individual or group disability insurance policy in Montana must include coverage for conditions involving facial bones, provided the treatment is medically necessary. This includes coverage for surgical and nonsurgical treatments related to the jaw and facial regions. The legislation aims to address a gap in current insurance coverage regarding the treatment of skeletal disorders affecting the face, potentially benefiting individuals who require such medical interventions.
Contention
During discussions, there may have been debates surrounding the potential financial impacts on insurance providers and the implications for policy pricing. Some stakeholders could argue that the requirement for mandated coverage might increase insurance premiums or affect the willingness of insurers to offer comprehensive plans. Critics may also raise concerns about the definition of 'medically necessary' treatments, fearing that this could lead to variations in actual coverage depending on individual circumstances and interpretations by insurance companies.