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Section 35-25-104 - Private Insurance Program Benefits.

WY Stat § 35-25-104 (2019) (N/A)
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35-25-104. Private insurance program benefits.

(a) A child eligible for services under this act shall receive benefits developed by the health benefits committee established under W.S. 35-25-105 that include:

(i) Cost sharing factors, not to exceed the maximum allowable under 42 U.S.C. 1397aa et seq.;

(ii) Exclusions and limitations;

(iii) Inpatient and outpatient hospital services;

(iv) Physician services;

(v) Laboratory and x-ray services;

(vi) Well-baby and well-child care including age appropriate immunizations;

(vii) Prescription drug coverage;

(viii) Vision coverage;

(ix) Dental coverage including preventive and basic services; and

(x) Provision of all services through managed care pursuant to 42 U.S.C. 1397cc(f)(3). This paragraph shall be effective only if the child insurance program under this act is provided through a private insurance company licensed by the insurance commissioner to write insurance in Wyoming.

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Section 35-25-103 - Child Health Insurance Program Eligibility.
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Section 35-25-105 - Health Benefits Plan Committee.