Bill > S3919

This bill requires health benefits coverage for an additional prosthetic appliance if a person's physician determines it is necessary for the person to engage in physical and recreational activities. The bill applies to various types of health insurance plans and contracts in New Jersey, including hospital service corporation contracts, medical service corporation contracts, health service corporation contracts, individual health insurance policies, group health insurance policies, individual health benefits plans, small employer health benefits plans, and health maintenance organization enrollee agreements. The bill also requires reimbursement for orthotic and prosthetic appliances at the same rate as the federal Medicare reimbursement schedule.