THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3533 Prudent purchaser contracts; reimbursement for unauthorized services or services by nonaffiliated providers.
Subject to section 3405, a health maintenance organization may offer prudent purchaser contracts to groups or individuals and in conjunction with those contracts a health maintenance organization may pay or may reimburse enrollees, or may contract with another person to pay or reimburse enrollees, for unauthorized services or for services by nonaffiliated providers in accordance with the terms of the contract and subject to copayments, coinsurances, deductibles, or other financial penalties designed to encourage enrollees to obtain services from affiliated providers.
History: Add. 2000, Act 252, Imd. Eff. June 29, 2000
Am. 2005, Act 306, Imd. Eff. Dec. 21, 2005
Am. 2016, Act 276, Imd. Eff. July 1, 2016
Popular Name: Act 218
Popular Name: HMO
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