609.10 Standard plan and point-of-service option plan required.
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/wi/chapter-609/609-10A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
609.10 Standard plan and point-of-service option plan required.
(ac)In this section, “point-of-service option plan” means a health maintenance organization or preferred provider plan that permits an enrollee to obtain covered health care services from a provider that is not a participating provider of the health maintenance organization or preferred provider plan under all of the following conditions:
1. The nonparticipating provider holds a license or certificate that authorizes or qualifies the provider to provide the health care services.