500.3406n Access to pediatric care services.
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500.3406n Access to pediatric care services.
Sec. 3406n.
(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 dependent care coverage shall permit a dependent minor insured to select and access a pediatrician for general pediatric care services.
(2)An insurer shall not require prior authorization or referral for access under subsection
(1)to a pediatrician who participates with the insurer. An insurer may require prior authorization or referral for access to a nonparticipating pediatrician.
History: Add. 1999, Act 179 , Imd. Eff. Nov. 16, 1999 ;-- Am. 2016, Act 276 , Imd. Eff. July 1, 2016
Popular Name: Act 218