Current through Public Act 151 of the 2024 Legislative Session
Section 500.3406m - Access by insured to obstetrician-gynecologist(1) An insurer that delivers, issues for delivery, or renews in this state a health insurance policy 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) An insurer shall include a description of the coverage required under this section in a communication sent to the insured or group purchaser of coverage.Amended by 2016, Act 276,s 52, eff. 7/1/2016.Add. 1998, Act 402, Eff. 3/23/1999.