{"data":{"id":"us-ak/as-21.55.140","jurisdiction":"us-ak","citation":"AS 21.55.140","heading":"Care and services not covered.","body":"(a) A state plan may not provide benefits for charges for the following:\n(1) care for an injury or disease either\n(A) arising out of and in the course of an employment subject to a workers' compensation or similar law or where the benefit is available to be provided under a workers' compensation policy or equivalent self-insurance to a sole proprietor, business partner, or corporation officer; or\n(B) to the extent benefits are payable without regard to fault under a coverage statutorily required to be contained in a motor vehicle or other liability insurance policy or equivalent self-insurance;\n(2) treatment for cosmetic purposes other than surgery for the prompt repair of an accidental injury sustained while covered or for replacement of an anatomic structure removed during treatment of tumors;\n(3) travel, other than transportation covered under AS 21.55.110(17);\n(4) private room accommodations to the extent it is in excess of the institution's most common charge for a semiprivate room;\n(5) services or articles to the extent that the charge exceeds the reasonable charge in the locality for the service;\n(6) services or articles that are determined not to be medically necessary, except for the fabrication or placement of the prosthesis as specified in AS 21.55.110(12) and (2) of this subsection;\n(7) services or articles that are not within the scope of the license or certificate of the institution or individual rendering the services or articles;\n(8) services or articles furnished, paid for, or reimbursed directly by or under any law of a government, except as otherwise provided in this chapter;\n(9) services or articles for custodial care or designed primarily to assist an individual in the activities of daily living;\n(10) service charges that would not have been made if no insurance existed or that the covered individual is not legally obligated to pay;\n(11) eyeglasses, contact lenses, or hearing aids or the fitting of them;\n(12) dental care not specifically covered by this chapter;\n(13) services of a registered nurse who ordinarily resides in the covered individual's home, or who is a member of the covered individual's family or the family of the covered individual's spouse;\n(14) experimental procedures, except during an approved clinical trial; in this paragraph, “approved clinical trial” has the meaning given in AS 21.42.415; and\n(15) services and supplies for which the patient was not charged.\n(b) [Repealed, § 8 ch 102 SLA 2003.]","path":["Title 21. Insurance.","Chapter 55. State Health Insurance.","Article 2. State Health Insurance Plans."],"source_url":"https://www.akleg.gov/basis/statutes.asp#21.55.140","current_through":"Alaska Statutes 2025 (34th Legislature, 2025-2026)","vintage":"","retrieved_at":"2026-09-02T06:17:40Z","sha256":"3e222a6db85a402aa4be9f24feba83eecb79108ae28f6cdf00c050b92143cda5","source_id":"us-ak","stale":false,"prev":"us-ak/as-21.55.130","next":"us-ak/as-21.55.150"},"notice":"GroundRules: Original legal text. Not legal advice."}