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Learn About Clinical Trials

  • Posted: 12/19/2002
  • Reviewed: 12/17/2009

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Insurance Coverage: Maine

For more information about insurance coverage of clinical trial costs, see this feature's main page: States That Require Health Plans to Cover Patient Care Costs in Clinical Trials.

Legislation: 24-A: Maine Insurance Code

Effective: 1999

What clinical trials are covered?

Clinical trials enrolling individuals who have a life-threatening or serious illness for which no standard treatment is effective. Trial must be approved and funded by any one of the following:

  • National Institutes of Health (NIH)
  • an NIH-sponsored cooperative group or center
  • U.S. Department of Health and Human Services

Who is required to pay?

Managed care organizations and private insurers.

Other key provisions:

  • Participation must offer meaningful potential for significant clinical benefit to the enrollee.
  • Referring physician must conclude that trial participation is appropriate.

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