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provider if the services are within the scope of the provider's | | license. |
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| | | 2.__Limits; coinsurance; deductibles.__Any policy or contract | | that__provides coverage for the services required by this section | | may contain provisions for maximum benefits and coinsurance and | | reasonable limitations, deductibles and exclusions to the extent | | that these provisions are not inconsistent with the requirements | | of this section. |
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| | | Sec. 4. 24-A MRSA §2847-G is enacted to read: |
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| | | §2847-G. Coverage for cognitive services |
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| | | 1.__Required coverage for cognitive services. Notwithstanding | | any other provisions of this chapter, an insurer that issues | | group health insurance policies and contracts shall provide | | coverage for cognitive services recommended by a licensed | | physician for persons with schizophrenia.__Cognitive services | | covered under this section may be provided by a licensed | | physician, pharmacist, clinical social worker, clinical | | professional counselor or other health care provider if the | | services are within the scope of the provider's license. |
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| | | 2.__Limits; coinsurance; deductibles.__Any policy, contract or | | certificate that provides coverage for the services required by | | this section may contain provisions for maximum benefits and | | coinsurance and reasonable limitations, deductibles and | | exclusions to the extent that these provisions are not | | inconsistent with the requirements of this section. |
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| | | Sec. 5. 24-A MRSA §4245 is enacted to read: |
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| | | §4245. Coverage for cognitive services |
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| | | 1.__Required coverage for cognitive services.__Notwithstanding | | any other provisions of this chapter, a health maintenance | | organization that issues individual and group health care | | contracts__shall provide coverage under those contracts for | | cognitive services recommended by a licensed physician for | | persons with schizophrenia.__Cognitive services covered under | | this section may be provided by a licensed physician, pharmacist, | | clinical social worker, clinical professional counselor or other | | health care provider if the services are within the scope of the | | provider's license. |
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| | | 2.__Limits; coinsurance; deductibles.__Any contract that | | provides coverage for the services required by this section may | | contain provisions for maximum benefits and coinsurance and | | reasonable limitations, deductibles and exclusions to the extent |
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