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§ 15-702. Dentists, physicians, and podiatrists under self-funded group insurance plans

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 7. Required Reimbursement for Services of Health Care Providers (Refs & Annos)
MD Code, Insurance, § 15-702
§ 15-702. Dentists, physicians, and podiatrists under self-funded group insurance plans
Self-funded group insurance plans
(a) This section applies to each self-funded group insurance plan that:
(1)(i) is formed by an order, society, or association that is incorporated or has a main office in the State; or
(ii) covers individuals who reside or work in the State; and
(2) is issued, renewed, amended, or reissued on or after July 1, 1972.
Reimbursement for services performed by physician, dentist, or podiatrist
(b) Notwithstanding any other provision of a self-funded group insurance plan subject to this section, if the plan provides for reimbursement for a service that is within the lawful scope of practice of a physician, dentist, or podiatrist, the plan may not prohibit a person covered by the plan from being reimbursed for the service regardless of whether the service is performed by a physician, dentist, or podiatrist.

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, § 490 ½.
MD Code, Insurance, § 15-702, MD INSURANCE § 15-702
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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