KRS 304.17A-149: Coverage for anesthesia and services in connection with dental

procedures for certain patients.

All health benefit plans issued or renewed on or after July 15, 2002, that provide coverage

for general anesthesia and hospitalization services to a co vered person shall provide

coverage for payment of anesthesia and hospital or facility charges for services performed

in a hospital or ambulatory surgical facility in connection with dental procedures for

children below the age of nine (9) years, persons w ith serious mental or physical

conditions, and persons with significant behavioral problems, where the dentist treating

the patient or admitting physician involved certifies that, because of the patient's age or

condition or problem, hospitalization or gen eral anesthesia is required in order to safely

and effectively perform the procedures. This section does not require coverage for routine

dental care, including the diagnosis or treatment of disease or other dental conditions and

procedures not covered in this section. The same deductibles, coinsurance, network

requirements, medical necessity provisions, and other limitations as apply to physical

illness benefits under the health benefit plan shall apply to coverage for anesthesia and

hospital or facility charges required to be covered under this section.