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Islets of Hope state diabetes insurance coverage laws |
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Information for this article was compiled and edited by Lahle A. Wolfe, Islets of Hope. Important Disclaimer This information for general information purposes only. It is not intended to be used a recommendation or endorse- ment of any program or entity This information is not intended to serve as any form of medical or legal advice. Article Sources National Conference of State Legislatures Government Accountability Office (GAO) report number GAO-05-210 entitled "Managing Diabetes: Health Plan Coverage of Services and Supplies;" released on March 28, 2005. |
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Georgia - State Diabetes Insurance Coverage Laws
HMO Patient's Rights - In 1999, the Georgia General Assembly passed House Bill 732, giving members of HMOs the right to appeal decisions that deny coverage for medical services. Health Insurance Portability and Accountability Act (HIPAA) - Designed to make it easier for people to keep health insurance, and help the industry control administrative costs. Georgia has mandated coverage for diabetes care. Summary of Provisions
§ 33-24-59.2 - as amended by H 1492 - 2002 law - Changes law to a mandate for coverage, effective July 1, 2002. "...shall provide coverage for medically necessary equipment, supplies, pharmacologic agents, and outpatient self-management training and education, including medical nutrition therapy, for individuals with insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and noninsulin-using diabetes who adhere to the prognosis and treatment regimen prescribed by a physician." An earlier 1998 law required only an offer of coverage for medically necessary equipment, supplies, pharmacological agents and out-patient self-therapy prescribed by a physician
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