Categories :: Health > Insurance

Health Insurance

Health Insurance in Maryland is regulated by the Maryland Insurance Administration.  General provisions regarding health insurance benefits in Maryland are found in the Insurance Article of the Maryland Annotated Code in Title 15 (“Insurance Article”), Subtitle 1 including but not limited to coverage, reimbursement and compensation issues. Read the Law: Md. Code Ann., Ins. §§ 15-101 - 15-143.
 
Regulations relating to for health insurance are found in Code of Maryland Regulations (“COMAR”) Title 31, Subtitle 10
 
The Insurance Article in Subtitle 8 lists a number of required health insurance benefits including but not limited to benefits for the elderly, those individuals diagnosed with Alzheimer’s disease, treatment for mental illnesses, prescription medications, in vitro fertilization procedures, disabilities caused by pregnancy or childbirth, breast cancer screenings and hospice care.   Consumers can appeal a denial of coverage for medical treatment online, or by filing a complaint with the Maryland Insurance Administration.  When an HMO or health insurer denies coverage for treatment, it must do so in writing. After an adverse decision or denial, your health plan must give you the details of its internal grievance process so that you can file an appeal with your health plan if you choose.
 
If you decide to file an appeal, the Maryland Attorney General's Health Care Education and Advocacy Unit will assist you, free-of-charge, in filing your appeal. The Health Education and Advocacy Unit may be reached toll-free at 1-877-261-8807.

Health Benefit Exchange

The Health Benefit Exchange Article, Title 31 of the Annotated Code, addresses the law in Maryland to reduce the number of uninsured citizens in the State.  To buy health insurance through the Health Benefit Exchange, visit their Connector Entities page. Read the law: Md. Code Ann., Md. Health Exchange §§ 31-102 et. seq.
 
 

Source: 

Author: PLL Contributors

Escape Now Button: 

No
Is this legal advice?

This site offers legal information, not legal advice.  We make every effort to ensure the accuracy of the information and to clearly explain your options.  However we do not provide legal advice - the application of the law to your individual circumstances. For legal advice, you should consult an attorney.  The Maryland State Law Library, a court-related agency of the Maryland Judiciary, sponsors this site.  In the absence of file-specific attribution or copyright, the Maryland State Law Library may hold the copyright to parts of this website. You are free to copy the information for your own use or for other non-commercial purposes with the following language “Source: Maryland's People’s Law Library – www.peoples-law.org. © Maryland State Law Library, 2017.”

Note: documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view, download Adobe Acrobat Reader.