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Code · North Carolina · Chapter 135 — Retirement System for Teachers and State Employees; Social Security; State Health Plan for Teachers and State Employees

§ 135-48.51. Coverage and operational mandates related to Chapter 58 of the General Statutes.

165 words·~1 min read·/nc/chapter-135/135-48-51

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§ 135-48.51. Coverage and operational mandates related to Chapter 58 of the General Statutes.
The following provisions of Chapter 58 of the General Statutes apply to the State Health Plan:
(1)G.S. 58-3-191, Managed care reporting and disclosure requirements.
(2)G.S. 58-3-221, Access to nonformulary and restricted access prescription drugs.
(3)G.S. 58-3-223, Managed care access to specialist care.
(4)G.S. 58-3-225, Prompt claim payments under health benefit plans.
(5)G.S. 58-3-235, Selection of specialist as primary care provider.
(6)G.S. 58-3-240, Direct access to pediatrician for minors.
(7)G.S. 58-3-245, Provider directories.
(7a)G.S. 58-3-247, Insurance identification card.
(8)G.S. 58-3-250, Payment obligations for covered services.
(9)G.S. 58-3-265, Prohibition on managed care provider incentives.
(10)G.S. 58-3-280, Coverage for the diagnosis and treatment of lymphedema.
(11)G.S. 58-3-285, Coverage for hearing aids.
(12)G.S. 58-50-30, Right to choose services of certain providers.
(13)G.S. 58-67-88, Continuity of care. (2011-85, s. 2.10; 2012-129, s. 2; 2013-296, s. 3; 2013-324, s. 5; 2021-30, s. 1(b).)
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