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Code · Illinois · Chapter 215 — INSURANCE · Act 5

Sec. 370i. Policies, agreements or arrangements with incentives or limits on reimbursement authorized.

140 words·~1 min read·/il/chapter-215/act-5/370i

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Sec. 370i. Policies, agreements or arrangements with incentives or limits on reimbursement authorized.
(a)Policies, agreements or arrangements issued under this Article may not contain terms or conditions that would operate unreasonably to restrict the access and availability of health care services for the insured.
(b)An insurer or administrator may:
(1)enter into agreements with certain providers of its choice relating to health care
services which may be rendered to insureds or beneficiaries of the insurer or administrator, including agreements relating to the amounts to be charged the insureds or beneficiaries for services rendered;
(2)issue or administer programs, policies or subscriber contracts in this State that
include incentives for the insured or beneficiary to utilize the services of a provider which has entered into an agreement with the insurer or administrator pursuant to paragraph
(1)above.
(c)(Blank).
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