Amends TCA Title 56.

This bill requires most health benefit plans to provide coverage for benefits for prosthetic devices that equal those benefits provided for under federal laws for health insurance for the aged and disabled. This bill's requirement does not apply to insurance policies for accident-only, credit, dental, disability income, long-term care, hospital indemnity, medicare supplement, specified disease, vision care, other limited benefit health insurance, coverage issued as a supplement to liability insurance, workers' compensation insurance, automobile medical payment insurance, or insurance under which benefits are payable with or without regard to fault and that is statutorily required to be contained in a liability insurance policy or equivalent self-insurance. This bill authorizes health benefit plans to: (1) Require prior authorization for prosthetic devices in the same manner that prior authorization is required for other covered benefits; (2) Limit coverage for a prosthetic device as a covered benefit to the most appropriate model that adequately meets the medical needs of the patient as determined by the insured's treating physician; and require that, if coverage is provided through a managed care plan, the benefits mandated pursuant to this bill are covered benefits only if the prosthetic devices are provided by a vendor and prosthetic services are rendered by a provider who contracts with or is designated by the carrier. To the extent that a health insurance entity provides in-network and out-of-network services, the coverage for the prosthetic device must be offered no less extensively. This bill requires health benefit plans to which this bill's coverage mandate applies to also cover repairs and replacements of prosthetic devices, subject to copayments and deductibles, unless necessitated by misuse or loss.