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Tennessee Code Title 56. Insurance § 56-7-2607

Current as of January 02, 2024 | Updated by Findlaw Staff

(a) As used in this section:

(1) “Covered person” means a person on whose behalf a health insurance entity is obligated to pay benefits or provide services, and who has a disability;

(2) “Disability” has the same meaning as defined in 42 U.S.C. § 12102;

(3) “Health insurance entity” has the same meaning as defined in § 56-7-109; and

(4) “Transplantation” means the transplantation or transfusion of a human body part into the body of another individual for the purpose of treating or curing a medical condition.

(b) A health insurance entity that offers plans in this state that provide coverage for transplantation to individuals or groups on an expense-incurred basis shall not deny coverage for transplantation solely on the basis of the covered person's disability.

(c) This section does not require a health insurance entity to provide coverage for transplantation if the transplantation is not medically necessary.

(d) This section applies to a state or local insurance program, under title 8, chapter 27, and a managed care organization contracting with the state to provide insurance through the TennCare program.

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Cite this article: FindLaw.com - Tennessee Code Title 56. Insurance § 56-7-2607 - last updated January 02, 2024 | https://codes.findlaw.com/tn/title-56-insurance/tn-code-sect-56-7-2607/

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