                                 CODE OF VIRGINIA

COVERAGE OF PROCEDURES INVOLVING BONES AND JOINTS (§ 38.2-3418.2)

A. Each insurer proposing to issue individual or group accident and sickness
insurance policies providing hospital, medical and surgical or major medical
coverage on an expense-incurred basis, each corporation providing individual or
group accident and sickness subscription contracts, and each health maintenance
organization providing a health care plan for health care services that provides
coverage under such policy, contract or plan for diagnostic and surgical
treatment involving any bone or joint of the skeletal structure shall not, under
such policy, contract or plan delivered, issued for delivery or renewed in this
Commonwealth on and after July 1, 1995, exclude coverage for such diagnostic and
surgical treatment involving any bone or joint of the head, neck, face or jaw or
impose limits that are more restrictive than limits on coverage applicable to
such treatment involving any bone or joint of the skeletal structure if the
treatment is required because of a medical condition or injury which prevents
normal function of the joint or bone and is deemed medically necessary to attain
functional capacity of the affected part.

B. The provisions of this section shall not apply to short-term travel,
accident-only, limited or specified disease policies, or to short-term
nonrenewable policies of not more than six months&#8217; duration.

HISTORY: 1995, c. 537.