State of South Dakota

South Dakota Legislature

Administrative Rules

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Rule 20:06:39:28 Requirements for basic plan -- Eligible expenses.

          20:06:39:28.  Requirements for basic plan -- Eligible expenses. The eligible expenses for the basic plan are as follows:

          (1)  Accidental injury services;

          (2)  Anesthetics and their administration. Payment for anesthesia given by the operating physician or the surgical assistant is limited to 50 percent of the allowable charge or usual, customary, and reasonable (UCR) amount, whichever is applicable;

          (3)  Assisting surgeon services;

          (4)  Treatment and diagnosis of biologically-based mental illnesses with the same dollar limits, deductibles, coinsurance factors, and restrictions as for other covered illnesses;

          (5)  Chemotherapy services for treatment of malignancy;

          (6)  Concurrent care for the treatment of more than one medical condition, but not for two or more practitioners to treat the same condition, unless medically necessary;

          (7)  Consultation services of a medical, surgical, obstetrical, pathological, or radiological consultant when requested by the attending practitioner. The consultation must include an actual physical examination, and any services ordered or performed must be documented in the patient's medical record and communicated to the requesting practitioner;

          (8)  Dental services, limited to accidental injuries which occur while the person is covered under this policy and which are treated within six months of the injury. Injuries associated with or resulting from the act of chewing are never covered. Anesthesia and hospitalization for dental care for persons who are under age five or are severely disabled will also be covered;

          (9)  Diabetes supplies, equipment, and education, as required by SDCL 58-17-1.2;

          (10)  Emergency air or ground ambulance to the nearest hospital capable of handling the emergency;

          (11)  Hemodialysis services when provided to an inpatient of a hospital or an outpatient in a Medicare approved dialysis center;

          (12)  Maternity services for the covered person or the covered person's spouse for complications of pregnancy only;

          (13)  Medical services (other than surgical or obstetrical) provided by a practitioner to an inpatient or an outpatient. Home and office calls are covered;

          (14)  Medical supplies including oxygen, rental of durable medical equipment up to the purchase price, surgical dressings, casts, splints, braces, and crutches;

          (15)  Occupational and physical therapy;

          (16)  Physicians services, including surgery;

          (17)  Prosthetic appliances used to replace a missing, natural part of the body and braces used to support or restrict movement of weakened or deformed body parts;

          (18)  Radiation therapy;

          (19)  Room, board, and general nursing care during hospital inpatient confinement, but not to exceed the average semi-private room charge of the hospital;

          (20)  Miscellaneous hospital services including outpatient services;

          (21)  Surgical services which include operative and cutting procedures, major endoscopic procedures and preoperative and postoperative care. Payment for multiple surgical procedures, not including the primary surgical procedure, performed at the same time may be reduced to 50 percent of the allowable charge or usual, customary, and reasonable (UCR) amount, whichever is applicable. If the multiple surgical procedure is determined incidental, benefits will be denied;

          (22)  X-ray and laboratory services for the diagnosis and treatment of an illness or injury. Coverage would include routine mammography x-ray as required by SDCL 58-17-1.1;

          (23)  Breast reconstruction in connection with mastectomy, which includes:

               (a)  Reconstruction of the breast on which the mastectomy was performed;

               (b)  Surgery and reconstruction of the other breast to produce a symmetrical appearance; and

               (c)  Prostheses and physical complications at all stages of a mastectomy, including lymphedemas; and

          (24)  Hospice.

          Source: 27 SDR 69, effective January 15, 2001.

          General Authority: SDCL 58-17-87.

          Law Implemented: SDCL 58-17-85.


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