RS 22:980
215 words·~1 min read·
/la/title-22/22-926A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
RS 22:980
§980. Additional sources; required coverage
A.(1) Notwithstanding any other provision of law, no hospital, health, or medical expense insurance policy, hospital or medical services contract, employee welfare benefit plan, health and accident insurance policy, or any other insurance contract of this type, including a group insurance or self-insurance plan, shall prohibit the receipt of payment under another such policy for any health care service covered under such other policy, provided that a policy may state that:
(a)Its deductible amount must be fully satisfied, either by the prior payment of a deductible under another policy in whole or in part or by partial payment of its deductible before any benefits are payable.
(b)No payment is required under any policy if the health care service in question is not covered by that policy.
(2)In no event shall the combined payment under multiple policies and federal or state government plans exceed one hundred percent of the charge for the provided health care service.
B. The provisions of this Section shall not apply to limited benefit health insurance policies or contracts.
Acts 1992, No. 310, §1; Acts 1995, No. 593, §1; Redesignated from R.S. 22:980 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009; Acts 2010, No. 919, §1, eff. Jan. 1, 2011.