Ins 8.72(10) (10) Rental and purchase of durable medical equipment and supplies.

Ins 8.72(11) (11) Prescription drugs.

Ins 8.72(12) (12) Reconstructive surgery which is either of the following:

Ins 8.72(12)(a) (a) Incidental to or following surgery necessitated by illness or injury.

Ins 8.72(12)(b) (b) Caused by a congenital disease or anomaly of a covered dependent child which results in a functional defect.

Ins 8.72(13) (13) Sterilization.

Ins 8.72(14) (14) Maternity services including all of the following:

Ins 8.72(14)(a) (a) Prenatal services normally associated with pregnancy.

Ins 8.72(14)(b) (b) Delivery services normally associated with a vaginal or caesarean section delivery.

Ins 8.72(14)(c) (c) Routine nursery care from the moment of birth until the infant is discharged from the hospital.

Ins 8.72(15) (15) Complications of pregnancy.

Ins 8.72(16) (16) Inpatient, outpatient and transitional treatment for nervous and mental disorders and alcoholism and other drug abuse, subject to s. Ins 8.75 (3).

Ins 8.72(17) (17) Preventive services appropriate to the age and sex of the covered person including all of the following:

Ins 8.72(17)(a) (a) Routine physical examinations and health screening tests.

Ins 8.72(17)(b) (b) Immunizations for poliomyelitis, diphtheria, pertussis, typhoid, measles, mumps and rubella.

Ins 8.72(17)(c) (c) Vaccinations for hemophilus influenza, type B.

Ins 8.72(17)(d) (d) Diphtheria and tetanus boosters.

Ins 8.72(17)(e) (e) Influenza and pneumonia vaccinations.

Ins 8.72(17)(f) (f) Tuberculosis skin tests.

Ins 8.72(18) (18) Organ transplants that are covered by medicare.

Ins 8.72(19) (19) Services provided by a dentist for the repair of accidental dental injuries.

Ins 8.72 History History: Cr. Register, June, 1993, No. 450, eff. 7-1-93; corrections in (3) and (6) made under s. 13.93 (2m) (b) 7., Stats., Register October 2002 No. 562; correction in (7) made under s. 13.92 (4) (b) 7., Stats., Register March 2017 No. 735.

Ins 8.73 Ins 8.73 Health insurance mandates. A plan shall comply with the health insurance mandates, as defined in s. 601.423, Stats., and may not exclude or limit coverage for any mandate except as provided in s. Ins 8.75 (3).

Ins 8.73 History History: Cr. Register, June, 1993, No. 450, eff. 7-1-93.

Ins 8.74 Ins 8.74 Policy title; term.

Ins 8.74(1) (1) The policy form for a plan submitted to the office of the commissioner of insurance for approval under s. 631.20, Stats., shall be entitled “basic health benefit plan.”

Ins 8.74(2) (2) The term period for plan coverage shall not be less than 12 months.

Ins 8.74 History History: Cr. Register, June, 1993, No. 450, eff. 7-1-93.

Ins 8.75 Ins 8.75 Limitations and restrictions.