GroundRules
← Search the law
Connecticut · Through Revised to January 1, 2026 (2026 Supplement to the General Statutes of Connecticut, applied over the base revision of January 1, 2025)

Conn. Gen. Stat. § 38a-492v: Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services.

Read at publisher ↗
Where this section sits in the code
  1. TITLE 38a. INSURANCE
  2. CHAPTER 700c. HEALTH INSURANCE
  3. PART II. INDIVIDUAL HEALTH INSURANCE

(a) As used in this section, “hospice care program” has the same meaning as provided in section 19a-122e.

(b) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state shall provide coverage for hospice services provided to an insured in the home through a hospice care program, to the extent coverage is provided for inpatient hospice services in a hospital. Such coverage shall be subject to the same terms and conditions applicable to all other benefits under such policy.

(c) No such policy shall exclude a hospice service for coverage solely because such hospice service is provided in the home and not at a hospital, provided hospice care in the home is appropriate for the insured.

(d) Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service corporation or other entity from conducting utilization review for in-home hospice services, provided such utilization review is conducted in the same manner and uses the same clinical review criteria as a utilization review for the same hospice services provided in a hospital.

Collected 2026-09-06T19:07:12Z. Source file · JSON

Browse this collection