27-45-6
Section 27-45-6 Compliance with article. It shall be unlawful for any insurer or any person
to provide any health insurance policy or employee benefit plan providing for pharmaceutical
services, including without limitation, prescription drugs, that does not conform to the provisions
of this article. (Acts 1988, No. 88-379, p. 565, §6.)...
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36-29-23
Section 36-29-23 Authorization to establish flexible employee benefit plan; provisions of plan.
The board, with the approval of the Governor, is authorized to establish a flexible employee
benefit plan for state employees in compliance with Section 125 and any other applicable sections
of the Internal Revenue Code. The flexible employee benefit plan may provide for payments
or salary reductions for qualified benefits in accordance with Section 125 of the Internal
Revenue Code, which presently include health insurance premiums, group life insurance, disability
insurance, supplemental health and accident insurance, dependent care expenses, and such other
types of employee benefits permitted under Section 125 and any other applicable sections of
the Internal Revenue Code. Futhermore, the board may establish a long-term care plan for employees.
(Acts 1989, No. 89-644, p. 1272, §4; Act 98-639, p. 1410, §1.)...
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16-25A-10
Section 16-25A-10 Payment to physician, hospital, etc., furnishing service or to insured. Any
benefits payable under the plan adopted may be paid either directly to the attending physician,
hospital, medical group or other furnishing the service upon which the claim is based or to
the insured employee upon presentation of valid bills for such services; subject to such provisions
designed to facilitate payment as may be made by the board. (Acts 1983, No. 83-455, p. 640,
§10.)...
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25-5-270
Section 25-5-270 Certain employers authorized to purchase insurance with optional deductibles.
(a) Each insurer issuing a policy under this article shall offer, as a part of the policy
or as an optional endorsement to the policy, deductibles optional to the policyholder for
benefits payable under this article. Deductible amounts offered shall be fully disclosed to
the prospective policyholder in writing in the amount of $100.00, $200.00, $300.00, $400.00,
$500.00, or increments of $500.00 up to a maximum of $2,500.00 per compensable claim. The
policyholder exercising the deductible option shall choose only one deductible amount. (b)
If the policyholder exercises the option and chooses a deductible, the insured employer shall
be liable for the amount of the deductible for benefits paid for each compensable claim of
work injury suffered by an employee. The insurer shall pay all or part of the deductible amount,
whichever is applicable to a compensable claim, to the person or medical...
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27-1-15
Section 27-1-15 Payment for services of podiatrist. Notwithstanding any other provision of
law, when any contract of health insurance or any plan or agreement for health services provides
for the reimbursement or payment for services which are within the scope of a podiatrist's
professional license as defined in the general laws of Alabama, such policy shall be construed
to include payment to a podiatrist who has performed such procedures. (Acts 1976, No. 678,
p. 927.)...
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27-19-39
Section 27-19-39 Policies, etc., providing for reimbursement for visual service. Whenever any
policy of insurance or any medical service plan or hospital service contract or hospital and
medical service contract provides for reimbursement for any visual service in Alabama which
is within the lawful scope of practice of a duly licensed optometrist, as defined in Section
34-22-1, the insured or other person entitled to benefits under such policy shall be entitled
to reimbursement for such services, whether such services are performed by a duly licensed
physician or by a duly licensed optometrist, whichever the insured selects, notwithstanding
any provision to the contrary in any statute or in such policy, plan, or contract. Duly licensed
optometrists shall be entitled to participate in such policies, plans, or contracts providing
for visual services to the same extent as fully licensed physicians. (Acts 1967, No. 508,
p. 1224.)...
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27-22-43
Section 27-22-43 Outline of coverage and comprehensive policy checklist. (a) No homeowners
personal lines residential property coverage insurance policy shall be delivered or issued
for delivery in this state unless an appropriate outline of coverage and comprehensive policy
checklist have been delivered to the policyholder prior to issuance, within 30 days after
issuance of the policy under separate cover, or included in the policy when issued or mailed.
The comprehensive policy checklist shall contain a list of provisions and elements, whether
or not they are included in the policy being issued, in a format that allows the insurer to
indicate what is and what is not included in the policy being issued. The outline of coverage
and comprehensive checklist shall provide information on the policy and may, but is not required
to, include coverage by endorsement. (b) To be in compliance with this section, an insurer
may use an approved outline of coverage and comprehensive policy...
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27-56-7
Section 27-56-7 Applicability to certain providers. (a) This chapter does not require and shall
not be construed to require any insurance policy, plan, or contract to provide health care
coverage for eye care. The provisions of this chapter are applicable only to those insurance
policies, plans, or contracts which provide coverage for eye care. (b) Insurers or other issuers
of any insurance policy, plan, or contract which provides coverage for eye care shall continue
to be able to establish and apply selection criteria and utilization protocols for health
care providers as well as credentialing criteria used in the selection of providers. (c) This
chapter does not require and shall not be construed to require the coverage of eye care services
by providers who are not designated as covered providers, or who are not selected as participating
providers, by an insurance policy, plan, or contract, or the issuer thereof having a participating
network of service providers. Provided, however,...
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36-29-11
Section 36-29-11 Payment of benefits under plan. Any benefits payable under the plan adopted
may be paid either directly to the attending physician, hospital, medical group or other furnishing
the service upon which the claim is based or to the insured employee upon presentation of
valid bills for such services, subject to such provisions designed to facilitate payment as
may be made by the board. (Acts 1965, No. 833, p. 1564, §8.)...
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22-21-300
Section 22-21-300 Disclosure of policies to patients. (a) As used in this section, the following
terms shall have the following meanings: (1) HOSPITAL. Any facility as defined in Section
22-21-20. (2) HOSPITAL BILL. A written statement provided to a patient after services are
rendered by the hospital describing the services and the payment due for those services. (3)
UNINSURED PATIENT. A person receiving care at a hospital who does not have any third party
source for payment of a hospital bill. (b)(1) Each hospital must make available written information
regarding its financial assistance policies. Each hospital bill or other summary of charges
to a patient shall include a statement that a patient who meets certain income criteria may
qualify for the financial assistance policy of the hospital. (2) Each hospital shall conspicuously
post a sign in the admission and registration areas of the hospital with the following notice:
"You may be eligible for financial assistance under the terms...
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