33-2-2206. Membership agreement -- contents.
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/mt/title-33/chapter-2/part-22/33-2-2206·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
33-2-2206 . Membership agreement -- contents. A membership agreement issued under this part must contain:
(1)the effective dates of the membership agreement;
(2)a grace period of 30 days for payment of a renewal membership fee;
(3)a description of what constitutes acceptable insurance coverage if eligibility for the membership agreement is conditioned on the member's current and continuing health insurance coverage;
(4)a statement that, except for decisions made as provided in 33-1-102 (6), individuals enrolled in medicare, medicaid, or the healthy Montana kids plan under Title 53, chapter 4, part 11, are not subject to charges billed by a private air ambulance service in excess of applicable deductibles, coinsurance, and copayments;
(5)a statement that the membership agreement is an insurance contract;
(6)a description and graphic illustration of the base locations and effective coverage area of the private air ambulance service;
(7)a list of other private air ambulance services with which reciprocity exists under 50-6-320 ;
(8)a statement that:
(a)participation in a membership program does not guarantee that in the event of a transport, the private air ambulance service will provide the transport; and
(b)unless reciprocity exists under 50-6-320 , if another private air ambulance service provides the transport, the individual will not receive the benefits provided under the membership agreement; and
(9)a definition of "medical necessity" if membership coverage of a transport is conditioned on a finding of medical necessity.