Sec. 43. Utilization of health care facilities.
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/il/chapter-215/act-134/43A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Sec. 43. Utilization of health care facilities.
(a)A health care plan must provide its enrollees with a description of their rights and responsibilities in obtaining referrals to and making appropriate use of health care facilities when access to their primary care physician is not readily available.
(b)Nothing in this Section is intended to affect the rights of enrollees or relieve a health care plan of its responsibilities with respect to the provision of and coverage of emergency services or treatment of an emergency medical condition, as those terms are defined by this Act, and as those responsibilities and rights are otherwise provided under this Act, especially Section 65 of this Act.