PocketLaw | Delaware Code | Provisions Applicable to Group and Blanket

Provisions Applicable to Group and Blanket Health Insurance

Checkout our iOS App for a better way to browser and research.

Newborn children.

Filing of rates.

Cancer screening tests.

Midwife services reimbursement.

Lead poison screening reimbursement [For application of this section, see 83 Del. Laws, c. 75, § 9].

Coverage of cancer monitoring tests.

Equal reimbursement for oral and intravenous anticancer medication.

Coverage of drugs approved for treatment of certain cancers [For application of this section, see 81 Del. Laws, c. 180, §§ 3 and 4].

Obstetrical and gynecological coverage.

Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective until Jan. 1, 2027].

Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective Jan. 1, 2027].

Child abuse or neglect — Group coverage.

Immunizations and preventive services.

Contraceptive coverage.

Section
3559A-3559C

Insurance coverage for diabetes; annual pap smear coverage reimbursement; colorectal cancer screening.

Insurance coverage for diabetes.

Cost sharing in prescription insulin drugs.

Coverage for insulin pumps.

Annual pap smear coverage reimbursement.

Colorectal cancer screening.

Required coverage for reconstructive surgery following mastectomy.

Referrals.

Emergency care.

Required coverage for volunteer ambulance company services.

Prescription medication.

Copayment or coinsurance for prescription drugs limited [For application of this section, see 82 Del. Laws, c. 57, § 3].

Clinical trials.

Experimental treatment coverage.

Newborn and infant hearing screening; coverage and reimbursement.

Use of Social Security numbers on insurance cards.

Supplemental coverage for children of insureds [For application of this section, see 79 Del. Laws, c. 99, § 19].

Autism spectrum disorders coverage.

Phenylketonuria (PKU) and other inherited metabolic diseases.

Hearing aid coverage.

Required coverage for scalp hair prosthesis.

Dental services for children with a severe disability.

Screening of infants and toddlers for developmental delays.

Reimbursement for orthotic and prosthetic services.

Mini-COBRA small employer group health policies [For application of this section, see 79 Del. Laws, c. 99, § 19].

School-based health centers.

Payment for emergency medical services.

No lifetime or annual limits [For application of this section, see 79 Del. Laws, c. 9, § 19].

Guaranteed availability of coverage [For application of this section, see 79 Del. Laws, c. 99, § 19].

Prohibition on excessive waiting periods [For application of this section, see 79 Del. Laws, c. 99, § 19].

Nondiscrimination in health care [For application of this section, see 79 Del. Laws, c. 99, § 19].

Comprehensive health insurance coverage [For application of this section, see 79 Del. Laws, c. 99, § 19].

Prohibiting discrimination against individual participants and beneficiaries based on health status [For application of this section, see 79 Del. Laws, c. 99, § 19].

Insurance offered through the state health insurance exchange [For application of this section, see 79 Del. Laws, c. 99, § 19].

Rating factors [For application of this section, see 79 Del. Laws, c. 99, § 19].

Notification and reasons for cancellation or nonrenewal [For application of this section, see 79 Del. Laws, c. 390, § 8].

Telehealth and telemedicine.

Network disclosure and transparency.

Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.

Mental Health Parity and Addiction Equity Act reporting requirements.

Time of submitting claim for reimbursement.

Electronic medical claims.

Medication assisted treatment for drug and alcohol dependencies.

Coverage for epinephrine autoinjectors.