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27-56-5
Section 27-56-5 Third-party payment. (a) No insurance policy, plan, or contract providing for
third-party payment or prepayment of health or medical expenses that provides coverage for
eye care services shall be issued or renewed after August 1, 2001, unless such insurance policy,
plan, or contract does the following: (1) Provides a covered person direct access to any eye
care provider participating in, or otherwise eligible to provide services under, the policy,
plan, or contract for all eye care services covered under the policy, plan, or contract, without
any referral or preapproval requirement, including, but not limited to, the following services,
if covered: a. Medical treatment of glaucoma. b. Postoperative eye care. (2) Ensures that
any list of medical or health care providers participating in, or otherwise eligible to provide
services under, the policy, plan, or contract includes eye care providers to the same extent
that such list includes other medical or health care...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-56-5.htm - 1K - Match Info - Similar pages
22-21-312
Section 22-21-312 Legislative findings and intent. The Legislature hereby finds and declares:
(1) That publicly-owned (as distinguished from investor-owned and community-nonprofit) hospitals
and other health care facilities furnish a substantial part of the indigent and reduced-rate
care and other health care services furnished to residents of the state by hospitals and other
health care facilities generally; (2) That as a result of current significant fiscal and budgetary
limitations or restrictions, the state and the various counties, municipalities, and educational
institutions therein are no longer able to provide, from taxes and other general fund moneys,
all the revenues and funds necessary to operate such publicly-owned hospitals and other health
care facilities adequately and efficiently; and (3) That to enable such publicly-owned hospitals
and other health care facilities to continue to operate adequately and efficiently, it is
necessary that the entities and agencies...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-312.htm - 2K - Match Info - Similar pages
22-7A-1
Section 22-7A-1 Physician agreements; dentist agreements. (a) For the purposes of this chapter,
the following words shall have the following meanings: (1) DENTIST. A person licensed to practice
dentistry in this state. (2) DENTIST AGREEMENT or AGREEMENT. A contract between a dentist
and a patient or his or her legal representative in which the dentist or the dentist's medical
practice agrees to provide dental services to the patient for an agreed upon fee and period
of time. (3) DENTIST PRACTICE. A dentist or a dental practice of a dentist that charges a
periodic fee for dental services and which does not bill a third party any additional fee
for services for patients covered under a dental agreement. The per visit charge of the practice
shall be less than the monthly equivalent of the periodic fee. (4) PHYSICIAN. A person licensed
to practice medicine in this state. (5) PHYSICIAN AGREEMENT or AGREEMENT. A contract between
a physician and a patient or his or her legal representative in...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-7A-1.htm - 5K - Match Info - Similar pages
34-19-21
Section 34-19-21 Coverage or reimbursement for services not required. Nothing contained in
this chapter shall be construed to create a requirement that any health benefit plan, group
insurance plan, policy, or contract for health care services that covers hospital, medical,
or surgical expenses, health maintenance organizations, preferred provider organizations,
medical service organizations, physician-hospital organizations, or any other person, firm,
corporation, joint venture, or other similar business entity that pays for, purchases, or
furnishes group health care services to patients, insureds, or beneficiaries in this state,
including entities created pursuant to Article 6, commencing with Section 10A-20-6.01, of
Chapter 20, Title 10A, provide coverage or reimbursement for the services described or authorized
in this chapter. (Act 2017-383, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/34-19-21.htm - 1K - Match Info - Similar pages
22-21-265
Section 22-21-265 Certificates of need - Required for new institutional health service. (a)
On or after July 30, 1979, no person to which this article applies shall acquire, construct,
or operate a new institutional health service, as defined in this article, or furnish or offer,
or purport to furnish a new institutional health service, as defined in this article, or make
an arrangement or commitment for financing the offering of a new institutional health service,
unless the person shall first obtain from the SHPDA a certificate of need therefor. Notwithstanding
any provisions of this article to the contrary, those facilities and distinct units operated
by the Department of Mental Health, and those facilities and distinct units operating under
contract or subcontract with the Department of Mental Health where the contract constitutes
the primary source of income to the facility, shall not be required to obtain a certificate
of need under this article. (b) Notwithstanding all other...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-265.htm - 15K - Match Info - Similar pages
22-8A-14
Section 22-8A-14 Filing and recording of living will; fee; inspection; duty of declarant to
provide copy to health care providers. (a) A person may file and have recorded a living will
in the office of the judge of probate in the county where the person resides. For the purpose
of this section, the term "living will" means an advanced directive for health care
as provided for in this chapter, or a similar document. (b) The fee for recording a living
will shall be five dollars ($5), which shall be deposited in the county general fund. In addition,
any other recording fees required by general or local law shall also be collected and shall
be distributed as provided by that law. (c)(1) A living will recorded pursuant to this section
shall not be open for general public inspection, but shall be available for inspection and
copying at the request of emergency medical personnel, hospital personnel, treating physicians,
members of the immediate family, a person with a power of attorney or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-8A-14.htm - 2K - Match Info - Similar pages
22-18-42
Section 22-18-42 Regulation of certain types of care and personnel; purchase of drugs and fluids.
This chapter shall govern and it shall authorize the Board of Health to regulate only emergency
medical care provided outside of hospitals, EMSP who provide care outside of hospitals, provider
services ground ambulances, air ambulances, ALS nontransport services, the training of EMSP
who provide care outside of hospitals, and orders given for emergency medical care to be provided
outside of hospitals. Notwithstanding any provision of law to the contrary, authorized drugs
and fluids for emergency medical care and services may be purchased from any reliable source,
including wholesalers, distributors, and hospitals. To the extent medical care and nursing
care provided within hospitals is governed by other provisions of law, those provisions of
law shall not be construed to have been repealed, amended, abridged, or otherwise altered
by this chapter. (Acts 1995, No. 95-276, p. 488, §5; Act...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-18-42.htm - 1K - Match Info - Similar pages
22-5A-5
Section 22-5A-5 Procedures for receiving complaints; informing recipients of ombudsman program.
The State Ombudsman shall establish written procedures for receiving complaints involving
long-term residential health care facilities and their employees. The Department of Senior
Services shall provide to health care, domiciliary and residential facilities written information
on the ombudsman program to be distributed to recipients at the time of admission, or rendering
of care and/or treatment at a facility. (Acts 1985, No. 85-657, p. 1029, §5.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-5A-5.htm - 854 bytes - Match Info - Similar pages
27-1-11
Section 27-1-11 Dentists and dental hygienists as "physicians" under health or accident
insurance policies. Whenever the terms "physician" and/or "doctor" are
used in any policy of health or accident insurance issued in this state or in any contract
for the provision of health care, services, or benefits issued by any health, medical or other
service corporation existing under, and by virtue of any laws of this state, said terms shall
include within their meaning those persons licensed under and in accordance with Chapter 9
of Title 34 in respect to any care, services, procedures, or benefits covered by said policy
of insurance or health care contract which the said persons are licensed to perform, any provisions
in any such policy of insurance or health care contract to the contrary notwithstanding. This
section shall be applicable to all policies in this state, regardless of date of issue, on
October 10, 1975. (Acts 1975, No. 1241, p. 2607, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-11.htm - 1K - Match Info - Similar pages
27-1-19
Section 27-1-19 Reimbursement of health care providers. (a) The insured, or health or dental
plan beneficiary may assign reimbursement for health or dental care services directly to the
provider of services. Health benefits include medical, pharmacy, podiatric, chiropractic,
optometric, durable medical equipment, and home care services. The company or agency, when
authorized by the insured, or health or dental plan beneficiary, shall pay directly to the
health care provider the amount of the claim, under the same criteria and payment schedule
that would have been reimbursed directly to the contract provider, and any applicable interest.
This amount only applies to assigned claims. Any company or agency making a payment to the
insured, or health or dental plan beneficiary, after the rights of reimbursement have been
assigned to the provider of services, shall be liable to the provider for the payment. If
the company or agency fails to reimburse the provider in accordance with the terms...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-19.htm - 2K - Match Info - Similar pages
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