Section 10176.6 Of Article 4. Payment And Proceeds From California Insurance Code >> Division 2. >> Part 2. >> Chapter 1. >> Article 4.
10176.6
. On and after January 1, 1982, every policy of disability
insurance which is issued, amended, delivered, or renewed that covers
hospital, medical, or surgical expenses on a group basis shall offer
coverage for diabetic daycare self-management education programs,
under such terms and conditions as may be agreed upon between the
insurer and the group policyholder, subject to utilization controls.
Coverage shall only apply to programs directed and supervised by a
licensed physician who is board certified in internal medicine or
pediatrics. Diabetic daycare self-management and education programs
shall be provided by health care professionals including, but not
limited to, physicians, registered nurses, registered pharmacists,
and registered dieticians who are knowledgeable about the disease
process of diabetes and the treatment of diabetic patients.
As used in this section, diabetic daycare self-management
education programs means instruction which will enable diabetic
patients and their families to gain an understanding of the diabetic
disease process, and the daily management of diabetic therapy thereby
avoiding frequent hospitalizations and complications.
Nothing in this section shall be construed to require the offering
of programs whose sole or primary purpose is weight reduction.