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.


Federal Laws Pertaining to Persons with Diabetes

Diabetes Assistance Programs

Diabetes Laws             

Kentucky - State Diabetes Insurance Coverage Laws


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Kentucky has mandated coverage for diabetes care.

K.R.S. §304.17A-148 -1998 law. Requires coverage for equipment, supplies and necessary training. (link requires Adobe Reader)

Summary of Provisions

  • Requirement related to diabetes? Yes
  • Diabetes Education services covered?  Yes
  • Medical nutritional therapy covered?  Yes
  • Diabetes supplies covered?  Yes
  • Specified supplies covered?  No

304.17A-148 Coverage for diabetes.

(1) All health benefit plans issued or renewed on or after July 15, 1998, shall provide coverage for equipment, supplies, outpatient self-management training and education, including medical nutrition therapy, and all medications necessary for the treatment of insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and noninsulin-using diabetes if prescribed by a health care provider legally authorized to prescribe the items.

(2) Diabetes outpatient self-management training and education shall be provided by a certified, registered, or licensed health care professional with expertise in diabetes, as deemed necessary by a health care provider.

(3) (a) The benefits provided in this section shall be subject to the same annual deductibles or coinsurance established for all other covered benefits within a given health benefit plan.

(b) Private third-party payors may not reduce or eliminate coverage due to the requirements of this section.

History: Created 1998 Ky. Acts ch. 476, sec. 1, effective July 15, 1998.

 

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Page Updated  03/09/2007