{"data":{"id":"us-ak/as-21.42.380","jurisdiction":"us-ak","citation":"AS 21.42.380","heading":"Coverage for treatment of phenylketonuria.","body":"(a) Except for a fraternal benefit society, a health care insurer that offers, issues for delivery, delivers, or renews in this state a health care insurance plan shall provide coverage under the plan for the formulas necessary for the treatment of phenylketonuria. This subsection does not apply to a health care insurance plan that the director has determined by order should be excluded from this subsection.\n(b) A health care insurer providing coverage under this section may impose reasonable contract limitations but may not refuse coverage based on a preexisting condition of phenylketonuria or require that an individual covered under the plan pay a higher deductible or copayment for the cost of treating phenylketonuria than for the cost of treating another condition or illness.\n(c) In this section, “cost” means the lowest of the following:\n(1) the actual charge for the treatment received for phenylketonuria;\n(2) the usual, customary, and reasonable charge for the treatment as determined by the contract of coverage; or\n(3) the charge agreed to by contract between the treatment provider and the health care insurer.","path":["Title 21. Insurance.","Chapter 42. The Insurance Contract.","Article 2. Specific Coverage Provisions."],"source_url":"https://www.akleg.gov/basis/statutes.asp#21.42.380","current_through":"Alaska Statutes 2025 (34th Legislature, 2025-2026)","vintage":"","retrieved_at":"2026-09-02T06:17:40Z","sha256":"e71eff2eaa0c8bc165c25df5643bb9b34a7017bfd794414ea0343a519d5232e5","source_id":"us-ak","stale":false,"prev":"us-ak/as-21.42.377","next":"us-ak/as-21.42.385"},"notice":"GroundRules: Original legal text. Not legal advice."}