§ 83-51-11. Contracts between dentist and patient; authority of provider of health insurance policy or employee benefit plan
Notwithstanding any other provision of this chapter: A dentist may contract directly with a patient for the furnishing of dental care services to such patient as may be otherwise authorized by law; Any person providing a health insurance policy or employee benefit plan, or an employer, or an employee organization may: Make available to its […]
§ 83-51-13. Limitation of applicability of chapter
The provisions of this chapter do not apply to Article 3, Chapter 41, Title 83, Mississippi Code of 1972, which provides for the organizing of nonprofit hospital, medical and surgical service corporations, and do not apply to the Nonprofit Dental Service Corporation Law or to employee benefit plans paid for completely by the employer covering […]
§ 83-51-15. Denial of claims; appeal; prior authorization
A dental service contractor or a contract of dental insurance shall establish and maintain appeal procedures for any claim by a dentist or a subscriber that is denied based upon lack of medical necessity. Any denial shall be based upon a determination by a dentist who holds a nonrestricted license issued in the United States […]
§ 83-51-31. Prohibition against contract between certain health care entities and dentists from requiring that dentist provide services to subscribers at fee established by health care entity unless services are covered services under subscriber agreement
No contract between a health care entity that offers a dental plan or plans and a dentist for the provision of services to subscribers may require that a dentist provide services to his subscribers at a fee set by the health care entity unless the services are covered services under the applicable subscriber agreement. For […]
§ 83-51-1. Definitions
As used in this chapter, the following words have the meanings ascribed herein unless the context clearly requires otherwise: “Health insurance policy” means any individual, group, blanket or franchise insurance policy, insurance agreement or group hospital service contract which provides benefits for dental care expenses incurred as a result of an accident or sickness. “Employee […]
§ 83-51-3. Provisions prohibited in health insurance policies and employee benefit plans
No health insurance policy or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this state shall: Prevent any person who is a party to or beneficiary of any such health insurance policy or employee benefit plan from selecting the dentist of his choice to furnish the dental care […]
§ 83-51-5. Disclosure requirements; payments to non-contracting providers
Any health insurance policy or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this state shall, to the extent that it provides benefits for dental care expenses: Disclose, if applicable, that the benefit offered is limited to the least costly treatment; Define and explain the standard upon which […]
§ 83-51-7. Provisions contrary to this chapter to be void
Any provision in a health insurance policy or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this state which is contrary to this chapter shall, to the extent of such conflict, be void.
§ 83-51-9. Benefits not mandated
The provisions of this chapter do not mandate that any type of benefits for dental care expenses be provided by a health insurance policy or an employee benefit plan.