{"data":{"id":"us-ky/krs-304.32-280","jurisdiction":"us-ky","citation":"KRS 304.32-280","heading":"Nonprofit hospital, medical -surgical, dental and health service","body":"corporations as insurers to offer home health care coverage -- Conditions.\n(1) All nonprofit hospital, medical -surgical, dental and health service corporations\nissuing policies in the Commonwealth which provide hospital, medical, or surgical\nexpense benefits shall make available and offer to include benefits for home health\ncare. On group benefits the option for home health care benefits shall be made\navailable and offered to the master  policyholder. The coverage may contain a\nlimitation on the number of home health care visits for which benefits are payable,\nbut the number of such visits shall not be less than sixty (60) in any calendar year or\nin any continuous period of twelve (12) mo nths for each person covered under the\npolicy. Each visit by an authorized representative of a home health agency shall be\nconsidered as one (1) home health care visit except that at least four (4) hours of\nhome health aide service shall be considered as one (1) home health visit.\n(2) Home health care coverage shall be subject to the same deductible and coinsurance\nprovisions as are other services covered by nonprofit hospital, medical -surgical,\ndental and health service corporations which issue policies in  the Commonwealth\nthat provide hospital, medical, or surgical expense benefits.\n(3) Home health care shall not be reimbursed unless an attending physician certifies\nthat hospitalization or confinement in a skilled nursing facility as defined by the\nKentucky Health Facilities and Health Services Certificate of Need and Licensure\nBoard would otherwise be required if home health care was not provided.\n(4) Medicare beneficiaries shall be deemed eligible to receive home health care benefits\nunder a policy, contract, plan entered into, issued, delivered or amended in this state\nby a nonprofit hospital, medical -surgical, dental and health service corporation\nwhich provides hospital, medical or surgical expense benefits provided that the\npolicy, contract or plan shall only pay for those home health care services which are\nnot paid for by Medicare and do not exceed the maximum liability of the policy,\ncontract or plan.\n(5) Pursuant to the provisions of this section, all nonprofit hospital, medical -surgical,\ndental and health service corporations issuing policies in the Commonwealth which\nprovide hospital, medical, or surgical expense benefits or coverage for home health\ncare shall inform the beneficiaries of such policies, in writing, of the specific home\nhealth care benefits which are covered. Such written notification shall take place at\nthe time of issuance or reissuance of the policy.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=29808","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:54Z","sha256":"b1cf957bbb8657d2e85704879767897f5b0b79c92ebbc4b756d15ec504192e8a","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.32-275","next":"us-ky/krs-304.32-290"},"notice":"GroundRules: Original legal text. Not legal advice."}