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Home » US Law » 2022 Maryland Statutes » Insurance » Title 15 - Health Insurance » Subtitle 8 - Required Health Insurance Benefits » Section 15-819 – Coverage for Outpatient Services and Second Opinions

    (a)    This section applies to:

        (1)    each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and

        (2)    each contract or certificate that is issued or delivered in the State by a nonprofit health service plan.

    (b)    A policy, contract, or certificate subject to this section that provides coverage for an inpatient service in an acute general hospital shall provide coverage for:

        (1)    a corresponding outpatient service that is provided to the insured instead of the inpatient service because of the denial, after review under a utilization review program, of a request by the attending physician for an inpatient admission; and

        (2)    an objective second opinion given to the insured when required by a utilization review program under § 19-319 of the Health – General Article.