632.895(14)(d) (d) This subsection does not apply to any of the following:
632.895(14)(d)1. 1. A disability insurance policy that covers only certain specified diseases.
632.895(14)(d)2. 2. A disability insurance policy that covers only hospital and surgical charges.
632.895(14)(d)3. 3. A health care plan offered by a limited service health organization, as defined in s. 609.01 (3), or by a preferred provider plan, as defined in s. 609.01 (4), that is not a defined network plan, as defined in s. 609.01 (1b).
632.895(14)(d)4. 4. A long-term care insurance policy, as defined in s. 600.03 (28g).
632.895(14)(d)5. 5. A medicare replacement policy, as defined in s. 600.03 (28p).
632.895(14)(d)6. 6. A medicare supplement policy, as defined in s. 600.03 (28r).
632.895(15) (15)Coverage of student on medical leave.
632.895(15)(a)(a) Subject to pars. (b) and (c), every disability insurance policy, and every self-insured health plan of the state or a county, city, town, village, or school district, that provides coverage for a person as a dependent of the insured because the person is a full-time student, including the coverage under s. 632.885 (2) (b), shall continue to provide dependent coverage for the person if, due to a medically necessary leave of absence, he or she ceases to be a full-time student.
632.895(15)(b) (b) A policy or plan is not required to continue coverage under par. (a) unless the person submits documentation and certification of the medical necessity of the leave of absence from the person's attending physician. The date on which the person ceases to be a full-time student due to the medically necessary leave of absence shall be the date on which the coverage continuation under par. (a) begins.
632.895(15)(c) (c) A policy or plan is required to continue coverage under par. (a) only until any of the following occurs:
632.895(15)(c)1. 1. The person advises the policy or plan that he or she does not intend to return to school full time.
632.895(15)(c)2. 2. The person becomes employed full time.
632.895(15)(c)3. 3. The person obtains other health care coverage.
632.895(15)(c)4. 4. The person marries and is eligible for coverage under his or her spouse's health care coverage.
632.895(15)(c)5. 5. Except for a person who has coverage as a dependent under s. 632.885 (2) (b), the person reaches the age at which coverage as a dependent who is a full-time student would otherwise end under the terms and conditions of the policy or plan.
632.895(15)(c)6. 6. Coverage of the insured through whom the person has dependent coverage under the policy or plan is discontinued or not renewed.
632.895(15)(c)7. 7. One year has elapsed since the person's coverage continuation under par. (a) began and the person has not returned to school full time.
632.895(16) (16)Hearing aids, cochlear implants, and related treatment for infants and children.
632.895(16)(a)(a) In this subsection:
632.895(16)(a)1. 1. "Cochlear implant" includes any implantable instrument or device that is designed to enhance hearing.
632.895(16)(a)2. 2. "Hearing aid" means any externally wearable instrument or device designed for or offered for the purpose of aiding or compensating for impaired human hearing and any parts, attachments, or accessories of such an instrument or device, except batteries and cords.
632.895(16)(a)3. 3. "Physician" has the meaning given in s. 448.01 (5).
632.895(16)(a)4. 4. "Self-insured health plan" means a self-insured health plan of the state or a county, city, village, town, or school district.
632.895(16)(a)5. 5. "Treatment" means services, diagnoses, procedures, surgery, and therapy provided by a health care professional.
632.895(16)(b) (b)
632.895(16)(b)1.1. Except as provided in par. (c), every disability insurance policy and every self-insured health plan shall provide the following coverages:
632.895(16)(b)1.a. a. Coverage of the cost of hearing aids and cochlear implants that are prescribed by a physician, or by an audiologist licensed under subch. II of ch. 459, in accordance with accepted professional medical or audiological standards, for a child covered under the policy or plan who is under 18 years of age and who is certified as deaf or hearing impaired by a physician or by an audiologist licensed under subch. II of ch. 459.
632.895(16)(b)1.b. b. Coverage of the cost of treatment related to hearing aids and cochlear implants, including procedures for the implantation of cochlear devices, for a child specified in subd. 1. a.