N.H. Admin. Code § Ins 1902.15

Current through Register No. 50, December 12, 2024
Section Ins 1902.15 - Benefit Conversion Requirements During Transition
(a) Benefits eliminated by operation of the Medicare Catastrophic Coverage Act of 1988 transition provisions shall be restored.
(b) For medicare supplement policies subject to the minimum standards adopted by the states pursuant to Medicare Catastrophic Coverage Act of 1988, the minimum benefits shall be:
(1) Coverage of part A medicare eligible expenses for hospitalization to the extent not covered by medicare from the 61st day through the 90th day in any medicare benefit period;
(2) Coverage of either all or none of the medicare part A inpatient hospital deductible amount;
(3) Coverage of part A medicare eligible expenses incurred as daily hospital charges during use of Medicare's lifetime hospital inpatient reserve days;
(4) Upon exhaustion of all medicare hospital inpatient coverage including the lifetime reserve days, coverage of 90 percent of all medicare part A eligible expenses for hospitalization not covered by medicare subject to a lifetime maximum benefit for an additional 365 days; and
(5) Coverage under medicare part A for the reasonable cost of the first 3 pints of blood or equivalent quantities of packed red blood cells, as defined under 42 CFR Part 409.87 unless replaced in accordance with 42 CFR Part 409.87 or already paid for under part B.

N.H. Admin. Code § Ins 1902.15

#5119, eff 4-25-91; ss by #5656, eff 7-1-93; ss by #7017, INTERIM, eff 7-1-99, EXPIRED: 10-29-99

New. #8555, eff 2-1-06

Amended by Volume XXXVI Number 06, Filed February 11, 2016, Proposed by #11014, Effective 1/8/2016, Expires 1/8/2026.