Bill Text: MI SB0862 | 2015-2016 | 98th Legislature | Introduced

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Bill Title: Insurance; health benefits; coverage for wigs and scalp hair prosthesis; require under certain circumstances. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406u.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2016-03-24 - Referred To Committee On Insurance [SB0862 Detail]

Download: Michigan-2015-SB0862-Introduced.html

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SENATE BILL No. 862

 

 

March 24, 2016, Introduced by Senator BIEDA and referred to the Committee on Insurance.

 

 

 

     A bill to amend 1956 PA 218, entitled

 

"The insurance code of 1956,"

 

(MCL 500.100 to 500.8302) by adding section 3406u.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 3406u. (1) An insurer that delivers, issues for delivery,

 

or renews in this state an expense-incurred hospital, medical, or

 

surgical policy or certificate that provides coverage for any other

 

prosthesis and a health maintenance organization that issues or

 

renews a group or individual contract that provides coverage for

 

any other prosthesis shall include in that policy, certificate, or

 

contract coverage for scalp hair prosthesis for a covered

 

individual who has scalp hair loss as a result of a medical

 

condition or as a result of treatment for a medical condition if

 

the covered individual's attending physician certifies in writing

 

the medical necessity of that proposed course of rehabilitative

 

treatment.

 

     (2) The coverage required by this section is not subject to

 

dollar limits, deductibles, and coinsurance provisions that are

 

less favorable than those for other prosthesis coverage.

 

     (3) As used in this section:

 

     (a) "Prosthesis" means an artificial appliance that is used to

 

replace lost natural structures. Prosthesis includes, but is not

 

limited to, an artificial arm, leg, breast, or eye.

 

     (b) "Scalp hair prosthesis" includes any artificial

 

substitutes for scalp hair.

 

     Enacting section 1. This amendatory act applies to policies,

 

certificates, and contracts delivered, executed, issued, amended,

 

adjusted, or renewed in this state, or outside of this state if

 

covering residents of this state, beginning 180 days after the date

 

this amendatory act is enacted into law.