Ohio residents are afforded certain protection when buying health insurance from a state licensed insurer as a result of standards put in place by the Ohio Department of Insurance. Below are some of the standards you should be aware of when buying insurance:
Alcohol Treatment : There must be at least $550 per year in alcohol treatment whether inpatient or outpatient
Mental Illness : On an outpatient basis, there is a requirement for $550 per year for treatment. This applies only if the policy covers in hospital treatment of mental illness.
Kidney dialysis : If an insurer provides coverage for dialysis in a hospital, it must also provide the same coverage for dialysis on an outpatient basis.
Specific practitioners : Health policies in Ohio cannot discriminate against particular health professionals. It must pay any licensed professional who legally performs a service. This includes Chiropractor, dentist, nurse-midwives, Mechanotherapists, osteopaths, Optometrists, Podiatrists, Psychologists
Generic drug use : If a policy covers prescription drugs, it must pay for any legally approved drug prescribed by your doctor even if it has not been approved by the government for treating your particular medical problem or disease.
Pregnancy and Maternity : Insurance companies do not have to offer maternity benefits, However, when it is provided, it may never be considered a pre-existing condition. Although, under certain conditions, an insurer may impose a 270-day waiting period before providing maternity benefits.
Mammograms: Every major medical policy group and individual must cover mammograms for breast cancer screening in adult women.
The frequency varies depending on age:
Age: 35-39 One only
Age: 4-49: One every two years unless your doctor has reason to believe you are a high risk for breast cancer
Age 50-64: one a year.
This is subject to a maximum of $85 per covered mammogram.
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