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§ 56-7-2401. Reimbursement for Services of Certain Health Care Providers

Whenever any policy of insurance issued in this state provides for reimbursement for any service that is within the lawful scope of practice of a duly licensed optometrist, as defined in § 63-8-102; a licensed psychologist designated as a health service provider, as provided by title 63, chapter 11; licensed psychological examiner; certified psychological assistant […]

§ 56-7-2403. Applicability and Scope of §§ 56-7-2401 and 56-7-2402

Sections 56-7-2401 and 56-7-2402 are not applicable to any policy or policies of insurance issued in this state prior to June 1, 1965, nor shall any part of §§ 56-7-2401 and 56-7-2402 be construed as enlarging the scope of practice of optometry or podiatry or the requiring of any insurance policy, medical service plan, hospital […]

§ 56-7-2406. Health Care Services Provided by St. Jude Children’s Research Hospital

Each managed care organization (MCO), preferred provider organization (PPO), health maintenance organization (HMO), and other health organizations shall provide, through direct contract with St. Jude Children’s Research Hospital or otherwise, all enrollees in the health care organization with access to the health care services at St. Jude Children’s Research Hospital to the extent access is […]

§ 56-7-2407. Nurse Midwife Services

Whenever any contract, plan, or policy of insurance issued in this state provides for reimbursement of any service that is within the lawful scope of practice of a nurse midwife, duly licensed by the state board of nursing as a registered nurse and also duly certified as a nurse midwife by the American College of […]

§ 56-7-2408. Reimbursement for Services by Nurse in Advanced Practice

Whenever any contract, plan, or policy of insurance issued in this state provides for reimbursement of any service that is within the lawful scope of practice of a nurse in advanced practice, the insured or other person entitled to benefits under the contract, plan, or policy shall be entitled to reimbursement for the services, whether […]

§ 56-7-2409. Employer-Based Plans to Offer at Least One Plan Option Providing Copayment Amounts for Office Visits With Chiropractic Physicians, Physical or Occupational Therapists No Greater Than Those for Primary Care Physician Visits

As used in this section: “Coinsurance” means a percentage of the contractual fee schedule applicable to a particular health care provider that a covered person must pay for covered services rendered by that provider under the terms of a particular health insurance policy or plan; “Copayment” means the specified dollar amount that a covered person […]

§ 56-7-2410. Limitation on Copayments or Coinsurance Amount Imposed for Primary Care Services Rendered During Visit to Physician Assistant

As used in this section: “Coinsurance” means a percentage of the contractual fee schedule applicable to a particular healthcare provider that a covered person must pay for covered services rendered by that provider under the terms of a particular health insurance policy or plan; “Copayment” means the specified dollar amount that a covered person must […]