Section 500.3406m - Access by insured to obstetrician-gynecologist.
THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3406m Access by insured to obstetrician-gynecologist.
Sec. 3406m.
(1) An insurer that delivers, issues for delivery, or renews in this state an expense-incurred hospital, medical, or surgical policy or certificate that requires an insured to designate a participating primary care provider and provides for annual well-woman examinations and routine obstetrical and gynecologic services shall permit a female insured to access an obstetrician-gynecologist for annual well-woman examinations and routine obstetrical and gynecologic services.
(2) An insurer shall not require prior authorization or referral for access under subsection (1) to an obstetrician-gynecologist who is participating with the insurer. An insurer may require prior authorization or referral for access to a nonparticipating obstetrician-gynecologist.
(3) A description of the coverage provided by this section shall be included by the insurer in a communication sent to the insured or group purchaser of coverage.
History: Add. 1998, Act 402, Eff. Mar. 23, 1999
Popular Name: Act 218