Health care insurers may issue health benefit plans which provide for incentives for covered persons to use the health care services of preferred providers. Such policies or subscriber certificates shall contain at least the following provisions:
For purposes of this Code section, when a request for emergency care is made through the emergency 9-1-1 system on behalf of a covered person and the ambulance service licensed under Chapter 11 of Title 31 that was dispatched in response to the request is not a preferred provider, for purposes of payment under paragraph (1) of this Code section, it shall be presumed that the covered person could not reasonably reach a preferred provider.
History. Code 1981, § 33-30-24 , enacted by Ga. L. 1988, p. 1483, § 1; Ga. L. 2006, p. 652, § 5/HB 1257.
Structure Georgia Code
Chapter 30 - Group or Blanket Accident and Sickness Insurance
Article 2 - Preferred Provider Arrangements
§ 33-30-21. Legislative Intent
§ 33-30-25. Reasonable Limits on Number or Classes of Preferred Providers
§ 33-30-26. Applicability of Title 33 and Related Rules and Regulations to Health Care Insurers