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- W2327121517 abstract "This article examines restrictions on children's access to necessary health care that result from denials of service pursuant to standard exclusions in indemnity insurance and managed care plan policies. Plans deny or limit coverage of a service they determine to be not medically necessary, or experimental, or investigative. The authors contend that, in making such decisions for children, insurers and providers do not give proper weight to children's developmental vulnerabilities and other characteristics which distinguish their health care from that of adults. The authors also discuss the difficulties of addressing this problem through current insurance laws. They urge that health care reform legislation establish a pediatric standard which would require decisions about appropriate coverage for children to be consistent with developmental concerns and other important factors in their care. C.L." @default.
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- W2327121517 date "1994-01-01" @default.
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- W2327121517 title "Beyond Benefits: The Importance of a Pediatric Standard in Private Insurance Contracts to Ensuring Health Care Access for Children" @default.
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- W2327121517 doi "https://doi.org/10.2307/1602437" @default.
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