Arkansas Code
Chapter 85 - Accident and Health Insurance
§ 23-85-133. Coverage of outpatient services required — Exception — Definitions

(a)
(1) No policy or contract of accident and health insurance, including contracts issued by hospital and medical service corporations, that provides coverage for any of the following services when delivered on an inpatient basis shall be sold, delivered, or issued for delivery or offered for sale in this state unless the identical coverage for the following services is provided when delivered on an outpatient basis:
(A) Laboratory and pathological tests;
(B) X rays;
(C) Chemotherapy;
(D) Radiation treatment; and
(E) Renal dialysis.

(2) However, the coverage required by subsection (a) of this section shall not be required when any policyholder or contract holder rejects coverage in writing.

(b) As used in this section:
(1) “Chemotherapy” means the administration, other than orally, of antineoplastic agents that are an integral part of cancer therapy;
(2) “Laboratory and pathological tests” means those services, including machine tests, ordered by the attending physician when necessary to and rendered in conjunction with the medical or surgical diagnosis or treatment of an illness or injury;
(3) “Radiation treatment” means treatment, when ordered by the attending physician, of cancer by X ray, radium, or radioisotopes;
(4) “Renal dialysis” means treatment, when ordered by the attending physician, of chronic renal disease by a process by which waste products are removed from the body by diffusion from one (1) fluid compartment to another across a semipermeable membrane and shall include hemodialysis and peritoneal dialysis; and
(5) “X rays” means diagnostic X-ray examinations, including fluoroscopic examinations, ordered by the attending physician when such X-ray examinations are necessary to and rendered in conjunction with the medical or surgical diagnosis or treatment of an illness or injury.

Structure Arkansas Code

Arkansas Code

Title 23 - Public Utilities and Regulated Industries

Subtitle 3 - Insurance

Chapter 85 - Accident and Health Insurance

§ 23-85-101. Franchise plan — Definition

§ 23-85-102. Scope

§ 23-85-103. Third party ownership

§ 23-85-104. Form of policy

§ 23-85-105. Required provisions

§ 23-85-106. Entire contract and changes provision

§ 23-85-107. Time limit on certain defenses provision

§ 23-85-108. Grace period provision

§ 23-85-109. Reinstatement provision

§ 23-85-110. Notice of claim provision

§ 23-85-111. Claim forms provision

§ 23-85-112. Proofs of loss provision

§ 23-85-113. Time of payment of claims provision

§ 23-85-114. Payment of claims provision

§ 23-85-115. Physical examination and autopsy provision

§ 23-85-116. Legal actions provision

§ 23-85-117. Change of beneficiary provision

§ 23-85-118. Optional policy provisions

§ 23-85-119. Optional change of occupation provision

§ 23-85-120. Optional misstatement of age provision

§ 23-85-121. Optional other insurance in this insurer provision

§ 23-85-122. Optional relation of earnings to insurance provision

§ 23-85-123. Optional unpaid premiums provision

§ 23-85-124. Optional conformity with state statutes provision

§ 23-85-125. Optional illegal occupation provision

§ 23-85-126. Optional intoxicants and controlled substances provision

§ 23-85-127. Order of certain provisions

§ 23-85-128. Refusal to renew policy

§ 23-85-129. Requirements of other jurisdictions

§ 23-85-130. Conforming to statute

§ 23-85-131. Age limit — Exception

§ 23-85-132. Reduction of benefits due to other insurance contracts prohibited

§ 23-85-133. Coverage of outpatient services required — Exception — Definitions

§ 23-85-134. Refund of unearned premiums upon death of insured

§ 23-85-136. Standard claim form required

§ 23-85-137. In vitro fertilization coverage required

§ 23-85-139. Written notice for premium payments made

§ 23-85-140. Nonparticipation in maintenance of licensure or maintenance of certification — Insurer prohibited from denying reimbursement or discriminating in reimbursement levels — Definitions