No healthcare plan shall deny or restrict the provision of covered benefits from a participating provider to a covered person solely because the covered person obtained treatment from a nonparticipating provider leading to a balance bill. Notice of such protection shall be provided in writing to the covered person by the insurer.
History. Code 1981, § 33-20E-6 , enacted by Ga. L. 2020, p. 210, § 1/HB 888.
Structure Georgia Code
Chapter 20E - Surprise Billing Consumer Protection Act
§ 33-20E-2. Application to Insurers; Definitions
§ 33-20E-4. Payment for Emergency Medical Services
§ 33-20E-5. Payment for Nonemergency Medical Services
§ 33-20E-6. Denying or Restricting Benefits Based on Balance Billing; Notice to Insured
§ 33-20E-7. Surprise Bill Exclusion; Requirements
§ 33-20E-8. Payer Health Claims Data Base; Annual Updating of Website
§ 33-20E-9. Arbitration of Payment Issues
§ 33-20E-10. Dismissal or Arbitration Requests
§ 33-20E-11. Submission to Commissioner by Insurer of Data Pending Arbitration
§ 33-20E-12. Regulation; Contracting With Resolution Organizations
§ 33-20E-13. Selection of Arbitrator
§ 33-20E-14. Submission of Final Offers; Supporting Documentation
§ 33-20E-15. Proposed Payment Amounts
§ 33-20E-16. Payment of Expenses and Fees
§ 33-20E-17. Referral of Parties for Violations
§ 33-20E-18. Limitation on Litigation When Arbitration Sought
§ 33-20E-19. Quarterly Reporting by Resolution Organizations
§ 33-20E-20. Annual Reporting by Commissioner
§ 33-20E-21. Exclusion From Other Statutory Provisions
§ 33-20E-22. Reporting to Credit Reporting Agencies
§ 33-20E-23. Financial Responsibilities for Ground Ambulance Transportation