North Carolina Administrative Code
Title 11 - INSURANCE
Chapter 12 - LIFE AND HEALTH DIVISION
Section .0500 - ACCIDENT AND HEALTH: GENERAL NATURE
Section 12 .0556 - HOME HEALTH CARE POLICY REQUIREMENT

Universal Citation: 11 NC Admin Code 12 .0556

Current through Register Vol. 39, No. 6, September 16, 2024

All Home Health Care Policies shall have the notice printed in contrasting type or color on the face of the policy as follows: "This Is Not A Long-Term Care Policy - This Policy Provides Home Health Care Benefits Only - Read Carefully". Home health care policies must comply with G.S. 58-51-60 and the following items:

(1) Prior hospitalization or skilled nursing home confinement shall not be required to satisfy eligibility for benefits.

(2) Benefits shall be provided without a physician certification that the insured or claimant would need medical care in a skilled nursing facility or hospital setting.

(3) Home health benefits shall not be limited to acute conditions.

Authority G.S. 58-2-40; 58-51-1; 58-51-95;
Eff. April 1, 1989;
Amended Eff. February 1, 1992;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. May 1, 2018.

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