§ 4001. Definitions
Purdon's Pennsylvania Statutes and Consolidated StatutesTitle 40 Pa.C.S.A. InsuranceEffective: July 1, 2020
Effective: July 1, 2020
40 Pa.C.S.A. § 4001
§ 4001. Definitions
The following words and phrases when used in this chapter shall have the meanings given to them in this section unless the context clearly indicates otherwise:
“Health insurance policy.” An individual or group policy, subscriber contract, certificate or plan issued by an insurer that provides medical or health care coverage. The term does not include any of the following:
(1) An accident only policy.
(2) A credit only policy.
(3) A long-term care or disability income policy.
(4) A specified disease policy.
(5) A Medicare supplement policy.
(6) A TRICARE policy, including a Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) supplement policy.
(7) A fixed indemnity policy.
(8) A dental only policy.
(9) A vision only policy.
(10) A workers' compensation policy.
(11) An automobile medical payment policy.
(12) Another similar policy providing for limited benefits.
“Insurer.” An entity licensed by the department with accident and health authority to issue a health insurance policy that is offered or governed under any of the following:
(2) The act of December 29, 1972 (P.L. 1701, No. 364),4 known as the Health Maintenance Organization Act.
(3) Chapter 61 (relating to hospital plan corporations) or 63 (relating to professional health services plan corporations).
“Maintenance medication.” A medication prescribed for a chronic, long-term condition and taken on a regular, recurring basis.
“Medication synchronization.” The coordination of prescription drug filling or refilling by a pharmacy or dispensing physician for a health insurance enrollee taking two or more maintenance medications for the purpose of improving medication adherence.
“Pharmacy.” As defined in section 2 of the act of September 27, 1961 (P.L. 1700, No. 699),5 known as the Pharmacy Act.
Credits
2019, July 2, P.L. 333, No. 46, § 1, effective in 365 days [July 1, 2020].
Footnotes
40 P.S. § 341 et seq.
40 P.S. § 764a.
40 P.S. § 991.2401 et seq.
40 P.S. § 1551 et seq.
63 P.S. § 390-2.
40 Pa.C.S.A. § 4001, PA ST 40 Pa.C.S.A. § 4001
Current through Act 11 of the 2024 Regular Session. Some statute sections may be more current, see credits for details.
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