California Insurance Code

§ 10119.9

INS § 10119.9 Effective Jan 1, 1999Div. 2 · Part 2 · Ch. 1 · Art. 1

Statute text

(a)A disability insurance policy or certificate covering hospital, surgical, or medical expenses, that meets the definition of “health benefit plan” in subdivision (a) of Section 10198.6, that is issued, amended, renewed, or delivered on or after January 1, 2000, shall be deemed to cover general anesthesia and associated facility charges for dental procedures rendered in a hospital or surgery center setting, when the clinical status or underlying medical condition of the insured requires dental procedures that ordinarily would not require general anesthesia to be rendered in a hospital or surgery center setting. The disability insurance policy or certificate may require prior authorization of general anesthesia and associated charges required for dental care procedures in the same manner that prior authorization is required for other covered diseases or conditions.

(b)This section shall apply only to general anesthesia and associated facility charges for only the following insureds, and only if the insureds meet the criteria in subdivision (a):

(1)Insureds who are under seven years of age.

…

Legislative history

Added by Stats. 1998, Ch. 790, Sec. 2. Effective January 1, 1999.