Maryland Statutes
Subtitle 8 - Required Health Insurance Benefits
Section 15-819 - Coverage for Outpatient Services and Second Opinions

(a)    This section applies to:
        (1)    each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and
        (2)    each contract or certificate that is issued or delivered in the State by a nonprofit health service plan.
    (b)    A policy, contract, or certificate subject to this section that provides coverage for an inpatient service in an acute general hospital shall provide coverage for:
        (1)    a corresponding outpatient service that is provided to the insured instead of the inpatient service because of the denial, after review under a utilization review program, of a request by the attending physician for an inpatient admission; and
        (2)    an objective second opinion given to the insured when required by a utilization review program under § 19-319 of the Health - General Article.

Structure Maryland Statutes