West Virginia Code § 33-6-38

Lyme disease to be covered by all health insurance policies
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All individual and group health insurance policies providing coverage on an expense-
incurred basis and individual and group service or indemnity type contracts issued by a
nonprofit corporation shall provide coverage for long-term antibiotic therapy for a patient
with Lyme disease when determined to be medically necessary and ordered by a licensed
physician after making a thorough evaluation of the patient's symptoms, diagnostic test
results, or response to treatment.

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