Sec. 38a-478j. Coinsurance payments based on negotiated discounts.
Sec. 38a-478j. Coinsurance payments based on negotiated discounts. Each
managed care plan that requires a percentage coinsurance payment by the insured shall
calculate the insured's coinsurance payment on the lesser of the provider's or vendor's
charges for the goods or services or the amount payable by the managed care organization
for such goods or services, except as otherwise required by the laws of a foreign state
when applicable to providers, vendors or patients in such foreign state.
(P.A. 97-99, S. 11; June 18 Sp. Sess. P.A. 97-8, S. 59, 88.)
History: June 18 Sp Sess. P.A. 97-8 added exception re laws of a foreign state, effective July 1, 1997.