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The Maine Association of Naturopathic Doctors (MAND) is a professional association of naturopathic doctors (NDs) who live and work in Maine. Our members are graduates of accredited four-year, graduate-level, in-residence naturopathic medical programs. The MAND is dedicated to advancing the principles of naturopathic medicine and expanding Maine’s consumers’ access to this important natural, prevention-based form of health care. In Maine, Naturopathic Doctors (ND’s) must hold a doctorate in naturopathic medicine from one of five accredited naturopathic medical schools in North America. This degree is a guarantee to the public that the holder possesses the requisite didactic and clinical training to practice Naturopathic Medicine. The doctorate degree prepares ND’s to be primary care general practitioners and to work together with other medical providers. Naturopathic Doctors are experts in the use of natural therapies and drug/nutrient, drug/herb interactions. For this reason Naturopathic Doctors are nationally recognized as experts in the field of Complementary and Alternative Medicine (CAM) and are included on the White House Commission on CAM and the advisory board for the National Institutes of Health.

SUPPORT INSURANCE COVERAGE FOR MAINERS BY TESTIFYING FOR OUR BILL LD 1030 ON THURSDAY, APRIL 4, 2017

Attention: MAND needs your support for a new bill before committee in the Maine Legislature on Thursday, April 4th!  ***We are looking for patients of NDs to testify who have private insurance and who have been denied coverage for ND services in Maine.

Please contact Anne Jacobs (anne@drannejacobs.com) for more details.

PATIENT RIGHTS AND PROVIDER NON-DISCRIMINATION:

A Bill to Increase Patient Choice, Access, and Equitable Insurance Reimbursement

Thousands of patients in Maine are being denied coverage for essential health benefits.

Licensed healthcare providers that offer lower cost, less invasive and prevention-focused care are often excluded from insurance provider networks entirely, reimbursed at different rates than conventional providers, made subject to different deductibles or copays, subjected to annual caps on services, or otherwise treated differently as “specialists.” The result is that patients are effectively being denied access to the licensed healthcare provider of their choice.

Senator Justin Chenette has introduced LD 1030, an Act to Require Nondiscrimination Policies in Providing Health Care Services. This bill is needed to correct such discriminatory insurance practices in Maine.

It will:

  • Prohibit insurers from excluding from in-network participation any category of licensed healthcare providers that are acting within the scope of their license or certification
  • Prohibit health insurance plans from covering a given service when offered by one type of licensed provider while denying coverage for the same service when provided by another type of licensed provider

It’s important to note that the bill addresses the types of providers that must be included by insurers in a network – it does not call for an increase in the types of services covered by plans.

The bill will, however:

  • Ensure reimbursement for services covered by a health plan and delivered within the provider’s scope of practice
  • Equally apply copays, deductibles, conversion factors, and covered essential benefits
  • Ensure provider availability under network adequacy rules
  • Create a transparent process for claim denials and appeals
  • Apply to all plans in the state (self-insured, third-party administered, workers comp, any healthcare programs, and auto insurance carriers)

We respectfully request your support for LD 1030. Please direct questions to Anne Jacobs, ND (anne@drannejacobs.com).

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