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of Osteopathy or a licensed or registered alcohol and drug | abuse counselor employed by a certified or licensed substance | abuse program, including, but not limited to, the patient's | medical, drug and alcoholism history; record of physical | examination; diagnosis; assessment of physical capabilities; | mental capacity; orders for medication, diet and special needs | for the patient's health or safety and treatment, including | medical, psychiatric, psychological, social services, | individual, family and group counseling; and educational, | support and referral services. |
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| | 2.__Requirement.__An insurer that issues individual health | care contracts to residents of this State shall provide benefits | as required in this section to a person covered under those | contracts for the treatment of alcoholism and other drug | dependency pursuant to a treatment plan. |
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| | 3.__Parity coverage.__An individual contract must provide, at | a minimum, benefits for the treatment of alcoholism and other | drug dependency, including benefits for residential treatment and | outpatient care, under terms and conditions that are no less | extensive than the benefits provided for medical treatment for | physical illness. At the request of an insurer, a provider of | treatment for alcoholism or other drug dependency shall furnish | data substantiating that the initial or continued treatment is | medically necessary and appropriate pursuant to a treatment plan. |
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| | 4.__Limits; coinsurance; deductibles.__A policy or contract | that provides coverage for the services required by this section | may contain provisions for maximum benefits and coinsurance and | reasonable limitations, deductibles and exclusions to the extent | that these provisions are not inconsistent with the requirements | of this section. |
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| | 5.__Notice.__At the time of delivery or renewal, the | individual health insurer shall provide written notification to | all individuals eligible for benefits under individual policies | or contracts of the alcoholism and drug dependency benefits | provided under this section. |
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| | 6.__Confidentiality.__The confidentiality of alcoholism and | drug treatment patient records must be protected. |
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| | 7.__Reports to the superintendent.__Beginning with the year | 2000, an insurer subject to this section shall report its | experience for each calendar year to the superintendent not later | than April 30th of the following year.__The report must be in a | form prescribed by the superintendent and include the amount of | claims paid in this State for the services required by this | section and the total amount of claims paid in this State for |
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