50 Ill. Adm. Code 2019.40
Minimum Benefit Standards
Section 2019
Section 2019.40 Minimum
Benefit Standards
a) Coverage for durable medical equipment shall be subject to the
same deductible, copayment, and coinsurance provisions provided for other
durable medical equipment, depending on whether the coverage is provided under
the policy or a durable medical equipment rider to the policy. The minimum
benefit shall not apply to a group policy of accident and health insurance that
does not provide durable medical equipment.
b) Except as otherwise provided in Section 356z.41 of the
Illinois Insurance Code [215 ILCS 5], coverage for pharmaceuticals and supplies
shall be subject to the same coverage, deductible, co-payment, and co-insurance
provisions provided for other pharmaceuticals, depending on whether that
coverage is provided under the policy or a drug rider to the policy. The
minimum benefit shall not apply to a group policy of accident and health
insurance that does not provide drug coverage.