Delaware Code
Subchapter I. General Provisions
§ 3367. Payment for emergency medical services.

(a) As used in this section:

(1) “Ambulance” shall have the same definition set forth in § 9702 of Title 16.
(2) “Basic life support” shall have the same definition set forth in § 9702 of Title 16.
(3) “Emergency medical services provider agency” shall have the same definition set forth in § 9802 of Title 16.
(4) “Volunteer fire company” shall mean the duly organized volunteer fire companies in the State.
(b) Notwithstanding any provision precluding an assignment of benefits in any individual health insurance policy, contract, certificate or plan, delivered or issued for delivery in this State by any insurer, health service corporation, or health maintenance organization, when a volunteer fire company or other emergency medical services provider agency certified by the Delaware State Fire Prevention Commission renders covered emergency medical services or supplies, including but not limited to basic life support and ambulance service, any payment or reimbursement made by an insurer, health service corporation or health maintenance organization for such covered emergency medical services or supplies shall be paid directly to the volunteer fire company or other certified emergency medical services provider agency, or their designee, without regard to whether a contract exists between the volunteer fire company or certified emergency medical services provider agency and the insurer, health service corporation or health maintenance organization, and otherwise without regard to whether the volunteer fire company or emergency medical services provider agency is a part of any network maintained by the insurer, health service corporation or health maintenance organization.
(c) The limitations on balance billing provided in § 3348 of this title shall not apply to billing for emergency medical services within the scope of this section provided by volunteer fire companies or emergency medical services provider agencies certified by the Delaware State Fire Prevention Commission.
(d) This section shall apply to all policies, contracts, certificates or plans issued, renewed, modified, altered, amended or reissued on or after July 1, 2013.
(e) Nothing in this section should apply to supplemental health insurance policies that do not provide expense or reimbursement coverage for emergency medical services, basic life support or ambulance services.

Structure Delaware Code

Delaware Code

Title 18 - Insurance Code

Chapter 33. HEALTH INSURANCE CONTRACTS

Subchapter I. General Provisions

§ 3301. Scope of chapter.

§ 3302. Short title.

§ 3303. Scope, format of policy [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3304. Required provisions; captions; omissions; substitutions.

§ 3305. Entire contract; changes.

§ 3306. Time limit on certain defenses.

§ 3307. Grace period.

§ 3308. Reinstatement.

§ 3309. Notice of claim.

§ 3310. Claim.

§ 3311. Proofs of loss.

§ 3312. Time of payment of claims.

§ 3313. Payment of claims.

§ 3314. Physical examination; autopsy.

§ 3315. Legal actions.

§ 3316. Change of beneficiary.

§ 3317. Optional policy provisions.

§ 3318. Change of occupation.

§ 3319. Misstatement of age.

§ 3320. Overinsurance; all coverages.

§ 3321. Relation of earnings to insurance.

§ 3322. Unpaid premiums.

§ 3323. Conformity with state statutes.

§ 3324. Illegal occupation.

§ 3325. Intoxicants and narcotics.

§ 3326. Renewability.

§ 3327. Order of certain provisions.

§ 3328. Third-party ownership.

§ 3329. Requirements of other jurisdictions.

§ 3330. Policies issued for delivery in another state.

§ 3331. Conforming to statute.

§ 3332. Age limit.

§ 3333. Filing of rates.

§ 3334. Franchise health insurance law.

§ 3335. Newborn children.

§ 3336. Midwife services reimbursement.

§ 3337. Lead poisoning screening reimbursement [For application of this section, see 83 Del. Laws, c. 75, § 9].

§ 3338. Coverage of cancer monitoring test.

§ 3338A. Equal reimbursement for oral and intravenous anticancer medication.

§ 3338B. Coverage of drugs approved for treatment of certain cancers [For application of this section, see 81 Del. Laws, c. 180, §§ 3 and 4].

§ 3339. Refusal to contract.

§ 3340. Child abuse or neglect — Individual coverage.

§ 3341. Newborns and mothers health protection.

§ 3342. Obstetrical and gynecological coverage.

§ 3342A. Contraceptive coverage.

§ 3342B. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective until Jan. 1, 2027].

§ 3342B. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective Jan. 1, 2027].

§ 3343. Insurance coverage for serious mental illness [For application of this section, see 81 Del. Laws, c. 29, § 3; and 82 Del. Laws, c. 199, § 3].

§ 3344. Insurance coverage for diabetes.

§ 3344B. Cost sharing in prescription insulin drugs.

§ 3344C. Coverage for insulin pumps.

§ 3345. Annual pap smear coverage reimbursement.

§ 3346. Colorectal cancer screening.

§ 3347. Required coverage for reconstructive surgery following mastectomies.

§ 3348. Referrals.

§ 3349. Emergency care.

§ 3349A. Required coverage for volunteer ambulance company services.

§ 3350. Prescription medication.

§ 3350B. Copayment or coinsurance for prescription drugs limited [For application of this section, see 82 Del. Laws, c. 57, § 3].

§ 3351. Clinical trials.

§ 3351B. Experimental treatment coverage.

§ 3352. Newborn and infant hearing screening; coverage and reimbursement.

§ 3353. Use of social security numbers on insurance cards.

§ 3354. Supplemental coverage for children of insureds [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3355. Phenylketonuria (PKU) and other inherited metabolic diseases.

§ 3356. Required coverage for scalp hair prosthesis.

§ 3357. Hearing aid coverage.

§ 3358. Dental services for children with a severe disability.

§ 3359. Health insurance; pharmacies; electronic reimbursement.

§ 3359B. Electronic medical (non-pharmaceutical) claims.

§ 3360. Screening of infants and toddlers for developmental delays.

§ 3362. Reimbursement for orthotic and prosthetic services.

§ 3363. Recommended immunizations.

§ 3364. Specialty tier prescription coverage.

§ 3365. School-based health centers.

§ 3366. Autism spectrum disorders coverage.

§ 3367. Payment for emergency medical services.

§ 3368. No lifetime or annual limits [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3369. Notification and reasons for cancellation or nonrenewal [For application of this section, see 79 Del. Laws, c. 390, § 8].

§ 3370. Telehealth and telemedicine.

§ 3370A. Network disclosure and transparency.

§ 3370B. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.

§ 3370C. Time of submitting claim for reimbursement.

§ 3370D. Coverage for epinephrine autoinjectors.

§ 3370E. Annual behavioral health well check [Effective Jan. 1, 2024].