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(6)__Copayments required under a policy or contract | | for benefits and coverage for mental illness must be | | actuarially equivalent to any coinsurance requirements | | or, if there are no coinsurance requirements, not | | greater than any copayment required under the policy | | or contract for a benefit or coverage for a physical | | illness. |
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| | | (7)__For the purposes of this section, medication | | management visits associated with a mental illness | | must be covered in the same manner as a medication | | management visit for the treatment of a physical | | illness and may not be counted in the calculation of | | any maximum outpatient treatment visit limits. |
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| | | This subsection does not apply to policies, contracts or | | certificates covering employees of employers with 20 or fewer | | employees, whether the group policy is issued to the employer, | | to an association, to a multiple-employer trust or to another | | entity. |
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| | This subsection may not be construed to allow coverage and | benefits for the treatment of alcoholism and other drug | dependencies through the diagnosis of a mental illness listed | in paragraph A. |
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| | | Sec. VV-21. 24-A MRSA §4234-A, sub-§7, as amended by PL 1995, c. 637, | | §7, is further amended to read: |
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| | | 7. Mandated offer of coverage for certain mental illnesses. | | Except as provided in subsection 6, coverage for medical or | | psychiatric treatment for mental illnesses listed in paragraph | | A by all individual and group contracts is subject to this | | subsection. |
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| | | A. All individual and group contracts must make available | | coverage providing, at a minimum, benefits according to | | paragraph B, subparagraph (1) for a person receiving | | medical or psychiatric treatment for any of the following | | mental illnesses diagnosed by a licensed allopathic or | osteopathic physician or, a licensed psychologist who is | | trained and has received a doctorate in psychology | specializing in the evaluation and treatment of human | behavior mental illness: |
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| | | (3) Pervasive developmental disorder, or autism; |
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