Section 500.3613 - Group hospital, medical, or surgical expense incurred policy; mastectomy benefit coverage required.
THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3613 Group hospital, medical, or surgical expense incurred policy; mastectomy benefit coverage required.
Sec. 3613.
A group hospital, medical or surgical expense incurred policy shall provide benefits for prosthetic devices to maintain or replace the body parts of an individual who has undergone a mastectomy. This coverage shall provide that reasonable charges for medical care and attendance for an individual who receives reconstructive surgery following a mastectomy or who is fitted with a prosthetic device shall be covered benefits after the individual's attending physician has certified the medical necessity or desirability of a proposed course of rehabilitative treatment. The cost and fitting of a prosthetic device following a mastectomy is included within the type of coverage intended by this section.
History: Add. 1982, Act 527, Eff. Mar. 30, 1983
Popular Name: Act 218