Requires health benefits coverage for additional prosthetic appliance under certain circumstances.
Impact
By mandating this coverage, A5875 will modify existing health laws which previously did not require insurance contracts to cover additional prosthetic appliances. This change ensures that insured individuals will have access to the necessary equipment that aids in their physical activities. It is expected to increase the financial burden on insurance companies, as they will need to expand their coverage to comply with this new requirement, potentially affecting premium rates.
Summary
Assembly Bill A5875 is aimed at expanding health benefits coverage related to orthotic and prosthetic devices. The bill mandates that health service and insurance contracts must provide coverage for additional prosthetic appliances when deemed medically necessary by a physician. The requirement is specifically for appliances that assist individuals in engaging in various physical and recreational activities such as running, swimming, and skiing. This coverage is pivotal to allow those with prosthetic needs to maintain an active lifestyle and participate in sports.
Contention
The bill has sparked discussions regarding the potential costs associated with extending coverage for additional prosthetic devices. Supporters argue that it enhances the quality of life for individuals requiring prosthetics by enabling active lifestyles. Conversely, critics are concerned about the financial implications for insurance providers and the possibility of increased premiums for all policyholders. Balancing the needs of a vulnerable population while managing insurance costs presents a significant point of contention.
Requires health benefits coverage for additional orthotic and prosthetic appliances under certain circumstances; requires coverage for orthotic and prosthetic appliances obtained through podiatrists.
Requires health benefits coverage for additional orthotic and prosthetic appliances under certain circumstances; requires coverage for orthotic and prosthetic appliances obtained through podiatrists.
In casualty insurance, providing for reimbursement for custom-fabricated devices, custom-fitted devices, orthosis, orthotics, over-the-counter prostheses, orthoses and pedorthic devices, prefabricated orthoses, prostheses, prosthetics and components of such devices.
Requires health benefits coverage for additional orthotic and prosthetic appliances under certain circumstances; requires coverage for orthotic and prosthetic appliances obtained through podiatrists.
Requires health benefits coverage for additional orthotic and prosthetic appliances under certain circumstances; requires coverage for orthotic and prosthetic appliances obtained through podiatrists.
In casualty insurance, providing for reimbursement for custom-fabricated devices, custom-fitted devices, orthosis, orthotics, over-the-counter prostheses, orthoses and pedorthic devices, prefabricated orthoses, prostheses, prosthetics and components of such devices.
Relating to the State Board of Prothetists and Orthotists; to amend Sections 34-25A-3, 34-25A-5, and 34-25A-8 of the Code of Alabama 1975, to require national boards making certifications
Prosthetists and Orthotists Board, orthosis, further defined to include custom-fitted orthosis, off-the-shelf orthotic device further defined, Sec. 34-25A-3 am'd.
Prosthetists and Orthotists Board, orthosis, further defined to include custom-fitted orthosis, off-the-shelf orthotic device further defined, Sec. 34-25A-3 am'd.