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2001 SESSION

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SB 816 Health insurance; nonparticipating ancillary services providers.

Introduced by: Leslie L. Byrne | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Health insurance; nonparticipating ancillary services providers. Prohibits an accident and sickness insurer, health maintenance organization, or health services plan from denying coverage or refusing to pay in full for an ancillary service provided by a nonparticipating provider, unless the health care plan obtains from the covered person a written acknowledgement that (i) services by a nonparticipating ancillary service provider may not be fully covered and (ii) the covered person is responsible for the difference between the amount that is billed and the amount that the insurer or plan pays or reimburses for the service. This measure applies where an insurer or plan has pre-approved a medical service provided at a participating hospital or outpatient treatment facility, but an ancillary service is provided by a nonparticipating provider.


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