Sec. 38a-511. Copayments re in-network imaging services.
Sec. 38a-511. Copayments re in-network imaging services. (a) No health insurer, health care center, hospital service corporation, medical service corporation or
fraternal benefit society that provides coverage under an individual health insurance
policy or contract for magnetic resonance imaging or computed axial tomography may
(1) require total copayments in excess of three hundred seventy-five dollars for all such
in-network imaging services combined annually, or (2) require a copayment in excess
of seventy-five dollars for each in-network magnetic resonance imaging or computed
axial tomography, provided the physician ordering the radiological services and the
physician rendering such services are not the same person or are not participating in the
same group practice.
(b) No health insurer, health care center, hospital service corporation, medical service corporation or fraternal benefit society that provides coverage under an individual
health insurance policy or contract for positron emission tomography may (1) require
total copayments in excess of four hundred dollars for all such in-network imaging
services combined annually, or (2) require a copayment in excess of one hundred dollars
for each in-network positron emission tomography, provided the physician ordering the
radiological service and the physician rendering such service are not the same person
or are not participating in the same group practice.
(c) The provisions of subsections (a) and (b) of this section shall not apply to a high
deductible health plan as that term is used in subsection (f) of section 38a-520.
(P.A. 06-180, S. 1; 07-54, S. 3.)
History: P.A. 07-54 made technical changes in Subsecs. (a) and (b), effective May 22, 2007.
See Sec. 38a-550 for similar provisions re group policies.