|TO:||Commercial Health Insurers, Blue Cross and Blue Shield of Massachusetts (BCBSMA), Health Maintenance Organizations|
|FROM:||Linda Ruthardt, Commissioner of Insurance|
|DATE:||June 21, 2000|
|RE:||Diabetes Cost Reduction|
|This Bulletin is to inform carriers of the enactment of St. 2000, c. 81 (Chapter 81), An Act Relative to Diabetes Cost Reduction, which amends the following Massachusetts health insurance statutes: M.G.L. c. 175 §47N, c. 176A §8P, c. 176B §4S, and c. 176G §4H. Chapter 81, which becomes effective on August 2, 2000, applies to policies delivered, issued or renewed within or without Massachusetts to Massachusetts residents, except policies providing supplemental coverage to Medicare or other governmental programs, or self-funded health plans administered under the Employee Retirement Income Security Act of 1974 (ERISA).|
Chapter 81 provides that coverage for specified diabetes-related items must comply with all other terms and conditions within an insurance plan, and may not be reduced or eliminated due to the requirements of Chapter 81. If the items are within a category of benefits or services for which coverage is otherwise afforded, nondiscriminatory treatment of benefits for diabetes-related services is mandated.
The Division will consider a carrier to be in compliance with the requirements of Chapter 81 if the mandated services and supplies are covered within the following categories of benefits:
Please refer to the statutes, as amended, for a complete description of these new benefits. If you have any questions regarding this Bulletin, please call the Health Unit at the Division of Insurance at (617) 521-7349.
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