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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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.
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.
