Bill > S615

This bill requires health insurance plans in Massachusetts, including the state employee health insurance plan, Medicaid, and private insurance plans, to cover medically necessary functional repair or restoration of craniofacial disorders, such as ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta. The coverage must include the necessary care and treatment of these congenital conditions, but does not include cosmetic surgery or dental/orthodontic treatment unrelated to the condition. The benefits provided under this bill cannot have higher deductibles, coinsurance, copayments, or out-of-pocket limits than other benefits offered by the insurance plan.