§ 15-819
136 words·~1 min read·
/md/insurance/15-819A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§15–819.
(a)This section applies to:
(1)each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and
(2)each contract or certificate that is issued or delivered in the State by a nonprofit health service plan.
(b)A policy, contract, or certificate subject to this section that provides coverage for an inpatient service in an acute general hospital shall provide coverage for:
(1)a corresponding outpatient service that is provided to the insured instead of the inpatient service because of the denial, after review under a utilization review program, of a request by the attending physician for an inpatient admission; and
(2)an objective second opinion given to the insured when required by a utilization review program under § 19-319 of the Health - General Article.