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Required Coverage
Required Coverage
Health insurers pay for medically necessary health care services identified in the health plan. "Medically necessary" is defined in the health plan or Summary of Benefits and Coverage (SBC). Insurers typically do not pay for medical treatments that are considered experimental or investigational.
What You Should Know
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Essential Health Benefits
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Preventive Services
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Coverage Requirements Under Michigan Law
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Ambulance
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Autism Spectrum Disorders (ASD)
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Breast Cancer Diagnostic Services
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Chemotherapy (Cancer Treatment)
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Diabetes Treatment
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Emergency Health Services
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Hospice Care
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Mastectomy
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Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA)
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Obstetrician-Gynecologist and Mid-Wife
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Off-Label Use of Approved Drug
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Pediatrician
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Prescription Drug