Bill > H964

This bill requires health insurance plans in Massachusetts to provide coverage for the medically necessary functional repair or restoration of craniofacial disorders, such as ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta. The coverage must be provided at the same level as other benefits offered by the insurer, without additional deductibles, coinsurance, copayments, or out-of-pocket limits. The bill excludes coverage for cosmetic surgery or dental/orthodontic treatments not related to the congenital condition. The provisions apply to a range of health insurance plans, including individual, group, and government-sponsored plans, but do not apply to dental or vision-only plans.