Ga. Comp. R. & Regs. 120-2-82-.06

Current through Rules and Regulations filed through October 29, 2024

Rule 120-2-82-.06 - Minimum Standards for Equipment Coverage Defined

Health insurance policies and plans, except limited benefit insurance policies, shall provide coverage for the following medical equipment, non-disposable and durable medical equipment when prescribed by a physician licensed to practice medicine pursuant to Title 43:

(1) Blood glucose monitors and glucose monitors, including commercially available blood glucose monitors designed for patients' use and for persons who have been diagnosed with diabetes;

(2) Blood glucose monitors and glucose monitors for the legally blind or visually impaired due to diabetes which includes commercially available blood glucose monitors designed for patient use with adaptive devices and for persons who are legally blind and have been diagnosed with diabetes, or are visually impaired due to diagnosed diabetes;

(3) Injection aids, including those adaptable to meet the needs of the legally blind, to assist with insulin injection;

(4) Insulin pumps, which includes insulin infusion pumps;

(5) Medical supplies for use with or without insulin pumps and insulin infusion pumps to include durable devices to assist with the injection of insulin and infusion sets;

(6) Therapeutic shoes, custom fitted inserts and related orthopedic footwear associated with the prevention and treatment of diabetes and diabetes related complications;

(7) Pen-like insulin injection devices designed for multiple use;

(8) Lancing devices associated with the drawing of blood samples for use with blood glucose monitors; and

(9) Such other medical equipment, non-disposable and durable medical equipment that is medically necessary and consistent with the current standards of care of the American Diabetes Association.

Education, Training, and Medical Nutrition Therapy" adopted. F. Nov. 12, 1999; eff. Dec. 2, 1999. Repealed: New Rule entitled "Minimum Standards for Equipment Coverage Defined" adopted. F. Oct. 8, 2002; eff. Oct. 28,

Ga. Comp. R. & Regs. R. 120-2-82-.06

O.C.G.A. Secs. 33-2-9, 33-24-59.2.

Original Rule entitled "Diabetes Outpatient Self-Management 2002.