58-17F-6. Where provider network is insufficient, covered benefit to be made available at no greater cost.
60 words·~1 min read·
/sd/title-58/chapter-58-17/58-17f-6·A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
In any case where the health carrier has an insufficient number or type of participating provider to provide a covered benefit, the health carrier shall ensure that the covered person obtains the covered benefit at no greater cost to the covered person than if the benefit were obtained from participating providers, or shall make other arrangements acceptable to the director.