550.1401f Health care corporation; access to obstetrician-gynecologist.
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550.1401f Health care corporation; access to obstetrician-gynecologist.
Sec. 401f.
(1)A health care corporation certificate that requires a member to designate a participating primary care provider and provides for annual well-woman examinations and routine obstetrical and gynecologic services shall permit a female member to access an obstetrician-gynecologist for annual well-woman examinations and routine obstetrical and gynecologic services.
(2)A health care corporation shall not require prior authorization or referral for access under subsection
(1)to an obstetrician-gynecologist who participates with the health care corporation. A health care corporation may require prior authorization or referral for access to a nonparticipating obstetrician-gynecologist.
(3)A description of the benefit provided by this section shall be included by the health care corporation in a communication sent to the individual or group purchaser of coverage.
History: Add. 1998, Act 412 , Eff. Mar. 23, 1999
Popular Name: Blue Cross-Blue Shield
Popular Name: Act 350