Islets of Hope state diabetes insurance coverage laws
Information for this article was compiled and edited by Lahle A. Wolfe, Islets of Hope.
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.
Government Accountability Office (GAO) report number GAO-05-210 entitled "Managing Diabetes: Health Plan Coverage of Services and Supplies;" released on March 28, 2005.
Maine - State Diabetes Insurance Coverage Laws
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Maine has state-mandated laws that require individual and group insurance carriers (including HMOs) to cover diabetes care and education services.
Tit 24 § 2332-F (nonprofits); 2654 (individual) and 2847-E (group) - 1996 law. Covers medically appropriate and necessary equipment, insulin, oral hypoglycemic agents, monitors, test strips, syringes and lancets, and out-patient self-management.
Summary of Provisions
According to the state of Main government website:
Public Law 592 (P.L. 592):
Effective July 4, 1996, Maine law P.L. 592 requires that health insurance policies in the state cover the following:
Supplies and Self-Management Training and Education must be certified necessary by your doctor. This law does not change current Medicare and Maine Care Program coverage. Call 1 (800) 273-7147 or 287-5380 for more information.
Maine Diabetes Control Project - The program includes diabetes surveillance and evaluation activities; professional education; community interventions; technical assistance and resource support; promotion and advocacy of diabetes management standards of care; and, health insurance coverage for appropriate diabetes medical care, diabetic supplies and education.
Main Insurance Bulletin 258: Mandate — Diabetes (Ch. 592) (07/04/96) - All individual and group policies (including HMO's), except accident only, specified disease, or hospital indemnity policies must provide coverage for the treatment of diabetes, including equipment, supplies and education. Education must be through ambulatory diabetes facilities authorized by the Diabetes Control Project.
Page Updated 03/09/2007