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Georgia State Code
Title      33
Chapter      24  
Section Navigation     1 ... 9          10 ... 18    
    19 ... 26       26.1 ... 29    
  29.1 ... 37         38 ... 44.1  
    45 ... 53         54 ... 58.2  
      59 ... 59.9    59.10 ... 70    
    71 ... 72      
Section<<< 59 59.1 59.2 59.3 59.4 59.5 59.6 59.7 59.8 59.9 >>>  
Title 33, Chapter 24, Section 59.2 (33-24-59.2)

(a) On or after July 1, 1998, every individual major medical and group health insurance policy, group health insurance plan or policy, and any other form of managed or capitated care plans or policies shall offer coverage for medically necessary equipment, supplies, pharmacologic agents, and outpatient self-management training and education, including medical nutrition therapy, for individuals with insulin-dependent diabetes, insulin-using diabetes, gestational diabetes, and noninsulin-using diabetes as prescribed by a physician licensed to practice medicine pursuant to Title 43.

(b)(1) Diabetes outpatient self-management training and education as provided for in subsection (a) of this Code section shall be provided by a certified, registered, or licensed health care professional with expertise in diabetes.

(2) The office of the Commissioner of Insurance shall promulgate rules and regulations after consultation with the Department of Human Resources which conform to the current standards for diabetes outpatient self-management training and educational services established by the American Diabetes Association for purposes of this Code section.

(c) The benefits provided in this Code section shall be subject to the same annual deductibles or coinsurance established for all other covered benefits within a given policy.

(d) Private third-party payors may not reduce or eliminate coverage due to the requirements of this Code section.

(e) Enforcement of the provisions of this Code section shall be performed by the Commissioner of Insurance.

Friday September 5 03:32 CDT


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