550.1438 Limitation of benefits; provision of other health care benefits.
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550.1438 Limitation of benefits; provision of other health care benefits.
Sec. 438.
(1)Notwithstanding any other provision of this act, a health care corporation may limit the benefits it will furnish to an eligible child enrolled in the program to the following primary health care benefits:
(a)Doctor office visits for a sick child.
(b)Medically necessary outpatient diagnostic tests.
(c)Emergency medical and accident care in a doctor's office or hospital's emergency room.
(d)Medically necessary outpatient surgery and anesthesia.
(e)Preventive care, including, but not limited to, immunizations and well-child visits to a doctor's office.
(f)Outpatient substance abuse care.
(2)With the commissioner's approval, a health care corporation may provide other health care benefits in addition to the primary health care benefits set forth in subsection (1).
History: Add. 1991, Act 60, Imd. Eff. June 27, 1991
Popular Name: Blue Cross-Blue Shield
Popular Name: Act 350