coverage limitations
SHERRY L DALEY
Description
Collection
Title:
coverage limitations
Creator:
SHERRY L DALEY
Date:
8/9/2004
Text:
Walt-
The California Orthotics and Prosthetics Association passed a bill more
than ten years ago that prohibits this type of restriction. Although
there is no mandate to cover O&P in California, if a carrier does offer
coverage, it must be provided as per prescription, including replacement
and repair. Of course, insurers do have a right to perform necessary
utilization review, but any contract with the types of limitations you
are addressing, would be illegal in California.
Thanks for your hard work - Sherry Daley
The California Orthotics and Prosthetics Association passed a bill more
than ten years ago that prohibits this type of restriction. Although
there is no mandate to cover O&P in California, if a carrier does offer
coverage, it must be provided as per prescription, including replacement
and repair. Of course, insurers do have a right to perform necessary
utilization review, but any contract with the types of limitations you
are addressing, would be illegal in California.
Thanks for your hard work - Sherry Daley
Citation
SHERRY L DALEY, “coverage limitations,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 6, 2024, https://library.drfop.org/items/show/223468.
