(a) A network provider is prohibited from billing an enrollee for any amount in excess of the allowable amount the health carrier has contracted for with the provider as total payment for the health care service. A network provider is permitted to bill an enrollee the approved co-payment, deductible, or coinsurance.
(b) A network provider is permitted to bill an enrollee for services not covered by the enrollee's health plan as long as the enrollee agrees in writing in advance before the service is performed to pay for the noncovered service.
2013 c 84 art 2 s 12
Structure Minnesota Statutes
Chapters 59A - 79A — Insurance
Chapter 62K — Minnesota Health Plan Market Rules
Section 62K.02 — Purpose And Scope.
Section 62K.04 — Market Rules; Violation.
Section 62K.05 — Federal Act; Compliance Required.
Section 62K.06 — Metal Level Mandatory Offerings.
Section 62K.07 — Information Disclosures.
Section 62K.075 — Provider Network Notifications.
Section 62K.08 — Marketing Standards.
Section 62K.09 — Accreditation Standards.
Section 62K.10 — Geographic Accessibility; Provider Network Adequacy.
Section 62K.105 — Network Adequacy Complaints.
Section 62K.11 — Balance Billing Prohibited.
Section 62K.12 — Quality Assurance And Improvement.
Section 62K.13 — Service Area Requirements.
Section 62K.14 — Limited-scope Pediatric Dental Plans.
Section 62K.15 — Annual Open Enrollment Periods; Special Enrollment Periods.