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§ 15-819. Corresponding outpatient services and second opinions

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits (Refs & Annos)
MD Code, Insurance, § 15-819
§ 15-819. Corresponding outpatient services and second opinions
Currentness
Application of section
(a) This section applies to:
(1) each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and
(2) each contract or certificate that is issued or delivered in the State by a nonprofit health service plan.
Coverage for corresponding outpatient services and second opinions
(b) A policy, contract, or certificate subject to this section that provides coverage for an inpatient service in an acute general hospital shall provide coverage for:
(1) a corresponding outpatient service that is provided to the insured instead of the inpatient service because of the denial, after review under a utilization review program, of a request by the attending physician for an inpatient admission; and
(2) an objective second opinion given to the insured when required by a utilization review program under § 19-319 of the Health-General Article.

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, §§ 354CC, 470V, 477DD.
MD Code, Insurance, § 15-819, MD INSURANCE § 15-819
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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