{"data":{"id":"us-ky/krs-304.17a-096","jurisdiction":"us-ky","citation":"KRS 304.17A-096","heading":"Basic health benefit plans permitted for individual, small group, and","body":"association markets -- Required coverage -- Exclusions from coverage.\n(1) An insurer authorized to engage in the business of insurance in the Commonwealth\nof Kentucky may offer one (1) or more basic health benefit plans in the individual,\nsmall group, and employer -organized association markets. A basic health benefit\nplan shall cover physician, pharmacy, home health, preventive, emergency, and\ninpatient and outpati ent hospital services in accordance with the requirements of\nthis subtitle. If vision or eye services are offered, these services may be provided by\nan ophthalmologist or optometrist.\n(2) An insurer that offers a basic health benefit plan shall be required  to offer health\nbenefit plans as defined in KRS 304.17A-005.\n(3) An insurer in the individual, small group, or employer -organized association\nmarkets that offers a basic health benefit plan may offer a basic health benefit plan\nthat excludes from coverage  any state -mandated health insurance benefit, except\nthat the basic health benefit plan shall include coverage for diabetes as provided in\nKRS 304.17A -148, hospice as provided in KRS 304.17A -250(6), chiropractic\nbenefits as provided in KRS 304.17A -171, breast examinations as provided in KRS\n304.17A-133, and those mandated benefits specified under federal law.\n(4) Notwithstanding any other provisions of this section, mandated benefits excluded\nfrom coverage shall not be deemed to include the payment, indemni ty, or\nreimbursement of specified health care providers for specific health care services.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=55751","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:46Z","sha256":"275336dc4277b66cae6afbbdaf6547170fe18287fd7691146cb8a8e72ea936eb","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.17a-0954","next":"us-ky/krs-304.17a-097"},"notice":"GroundRules: Original legal text. Not legal advice."}