215 ILCS 5/356z.78: Coverage for medically necessary care and treatment to address a major injury to the jaw either through an accident or disease.
Where this section sits in the code
- CHAPTER 215 INSURANCE
- Illinois Insurance Code.
(a) In this Section, "medically necessary care and treatment to address a major injury to the jaw either through an accident or disease" includes:
(1) oral and facial surgery, including reconstructive services and procedures necessary to improve, restore, or maintain vital functions;
(2) dental implants, crowns, or bridges;
(3) prosthetic treatment such as obturators, speech appliances, and feeding appliances;
(4) orthodontic treatment and management;
(5) prosthodontic treatment and management; and
(6) otolaryngology treatment and management.
(b) An individual or group policy of accident and health insurance amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for medically necessary care and treatment to address a major injury to the jaw either through an accident or disease. Coverage under this Section may impose the same deductibles, coinsurance, or other cost-sharing limitations that are imposed on other related benefits under the policy.
Collected 2026-09-15T04:46:30Z. Source file · JSON