500.3406m Access by insured to obstetrician-gynecologist.
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/mi/chapter-500/500-3406mA research copy — for the controlling text, always check the official state or federal source. Not legal advice.
500.3406m Access by insured to obstetrician-gynecologist.
Sec. 3406m.
(1)An insurer that delivers, issues for delivery, or renews in this state a health insurance policy that requires an insured to designate a participating primary care provider and provides for annual well-woman examinations and routine obstetrical and gynecologic services shall permit a female insured to access an obstetrician-gynecologist for annual well-woman examinations and routine obstetrical and gynecologic services.
(2)An insurer shall not require prior authorization or referral for access under subsection
(1)to an obstetrician-gynecologist who is participating with the insurer. An insurer may require prior authorization or referral for access to a nonparticipating obstetrician-gynecologist.
(3)An insurer shall include a description of the coverage required under this section in a communication sent to the insured or group purchaser of coverage.
History: Add. 1998, Act 402 , Eff. Mar. 23, 1999 ;-- Am. 2016, Act 276 , Imd. Eff. July 1, 2016
Popular Name: Act 218