Wyoming Legislation Seeks To Address Insurance Company ‘Loopholes’
The Wyoming Senate last week approved two bills (S 95 and S 62) that aim to close loopholes that health insurance companies use to deny coverage, the Wyoming Tribune Eagle reports. Under current law, insurance companies can deny coverage for any reason and decide whether a procedure is medically necessary, and the details of insurers' contracts are not regulated. The bill S 95 would define when a treatment qualifies as medically necessary and create an external review process for patients who are denied coverage for a procedure. S 62 would prohibit insurance companies from adding discretionary clauses to insurance policies that allow them to easily deny coverage of procedures. The bills now move to the state House for consideration (Dynesdr, Wyoming Tribune Eagle, 1/1).
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