Section 500.3406n - Access to pediatric services.
THE INSURANCE CODE OF 1956 (EXCERPT)
Act 218 of 1956
500.3406n Access to pediatric services.
Sec. 3406n.
(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 dependent care coverage shall permit a dependent minor insured to select and access a pediatrician for general pediatric care services.
(2) An insurer shall not require prior authorization or referral for access under subsection (1) to a pediatrician who participates with the insurer. An insurer may require prior authorization or referral for access to a nonparticipating pediatrician.
History: Add. 1999, Act 179, Imd. Eff. Nov. 16, 1999
Popular Name: Act 218