KRS 304.17A-096: Basic health benefit plans permitted for individual, small group, and

association markets -- Required coverage -- Exclusions from coverage.

(1) An insurer authorized to engage in the business of insurance in the Commonwealth

of Kentucky may offer one (1) or more basic health benefit plans in the individual,

small group, and employer -organized association markets. A basic health benefit

plan shall cover physician, pharmacy, home health, preventive, emergency, and

inpatient and outpati ent hospital services in accordance with the requirements of

this subtitle. If vision or eye services are offered, these services may be provided by

an ophthalmologist or optometrist.

(2) An insurer that offers a basic health benefit plan shall be required to offer health

benefit plans as defined in KRS 304.17A-005.

(3) An insurer in the individual, small group, or employer -organized association

markets that offers a basic health benefit plan may offer a basic health benefit plan

that excludes from coverage any state -mandated health insurance benefit, except

that the basic health benefit plan shall include coverage for diabetes as provided in

KRS 304.17A -148, hospice as provided in KRS 304.17A -250(6), chiropractic

benefits as provided in KRS 304.17A -171, breast examinations as provided in KRS

304.17A-133, and those mandated benefits specified under federal law.

(4) Notwithstanding any other provisions of this section, mandated benefits excluded

from coverage shall not be deemed to include the payment, indemni ty, or

reimbursement of specified health care providers for specific health care services.