SCS HS HCS HB 455 -- HEALTH INSURANCE

Effective January 1, 2004, this bill requires health insurance
policies provided through the Medicaid program, the Children's
Health Insurance Program, and the Missouri Consolidated Health
Care Plan to provide coverage for prostheses and scalp hair
prostheses worn as a result of hair loss due to alopecia areata
or alopecia totalis (areas of hair loss or total hair loss).

The insurance coverage for the prostheses and scalp hair
prostheses is limited to persons 18 years of age or younger.  The
bill provides a maximum benefit amount up to $200 per calendar
year and a lifetime maximum benefit amount of $3,200.  Covered
persons can also request a one-time benefit which will not exceed
$3,200.  Health policies are not prohibited from providing
coverage that is greater or more favorable to covered persons
than is contained in the bill.

Covered persons cannot be subject to any greater deductibles or
copayments than similar health care services covered by a policy,
contract, or plan.

Missouri House of Representatives
Last Updated July 25, 2003 at 10:12 am