27-21A-7
Section 27-21A-7 Evidence of coverage and charges for health care services. (a)(1) Every enrollee residing in this state is entitled to an evidence of coverage. If the enrollee obtains such coverage through an insurance policy or a contract issued by a health care service plan, the insurer or the health care service plan shall issue the evidence of coverage. Otherwise, the health maintenance organization shall issue the evidence of coverage. (2) No evidence of coverage, or amendment thereto, shall be issued or delivered to any person in this state until a copy of the basic form of the evidence of coverage, or amendment thereto, has been filed with the commissioner and the State Health Officer, and approved by the commissioner. (3) An evidence of coverage shall contain: a. No provisions or statements which encourage misrepresentation, or which are untrue, misleading, or deceptive as defined in subsection (a) of Section 27-21A-13; and b. A clear and concise statement, if a contract, or a...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-21A-7.htm - 3K - Match Info - Similar pages
41-28-4
Section 41-28-4 Powers and duties of secretary. The secretary shall have all of the following powers and duties: (1) Develop a comprehensive four-year strategic plan for the state's information technology to include acquisition, management, and use of information technology by state agencies. The plan shall be developed in conjunction with the planning and budgeting processes for state agencies and may include review of state agencies' information technology plans, capital budgets, and operating budgets as appropriate to accomplish the goals of reducing redundant expenditures and maximizing the return on information technology investments. The plan shall be updated annually and submitted to the Governor and shall be presented during a public meeting to the Permanent Legislative Oversight Committee on Information Technology. The plan shall further be coordinated with the Boards of Directors of the Alabama Supercomputer Authority. (2) Collaborate and coordinate with the Division of Data...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/41-28-4.htm - 4K - Match Info - Similar pages
22-1-18
Section 22-1-18 Autism Spectrum Disorder coverage and reimbursement under Children's Health Insurance Plan. In the administration of and provision of benefits for the Children's Health Insurance Plan (ALL Kids), the Alabama Department of Public Health, on and after December 31, 2018, shall provide coverage and reimbursement for the treatment of Autism Spectrum Disorder in the same manner and same levels as health benefit plans. (Act 2017-337, §2.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-1-18.htm - 763 bytes - Match Info - Similar pages
27-57-2
Section 27-57-2 Coverage; applicability. (a) All group health benefit plans, policies, contracts, and certificates executed, delivered, issued for delivery, continued, or renewed in this state on or after August 1, 2004, shall offer, at the time of proposal, sale, or renewal of a policy subject to this chapter, to include colorectal cancer examinations within the coverage. Such offer of coverage shall include colorectal cancer examinations for covered persons who are 50 years of age or older, or for covered persons who are less than 50 years of age and at high risk for colorectal cancer according to current American Cancer Society colorectal cancer screening guidelines. (b) This chapter shall apply to group accident and sickness insurance policies issued by a fraternal benefit society, a nonprofit hospital service corporation, a nonprofit medical service corporation, a group health care plan, a health maintenance organization, or any similar entity. (Act 2004-502, p. 969, §2.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-57-2.htm - 1K - Match Info - Similar pages
27-48-2
Section 27-48-2 Coverage for medically necessary inpatient care for mother and newly born child. (a) Every health benefit plan that provides maternity coverage shall provide coverage for the following: (1) All medically necessary inpatient care for a mother and her newly born child as determined by the woman's prenatal care physician, obstetrician-gynecologist, certified nurse midwife, or the child's attending pediatrician and when consistent with the most recent version of the "Guidelines for Perinatal Care" prepared by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, including the administration of medical tests recommended by the American Academy of Pediatrics or the American College of Obstetricians and Gynecologists or both on the admission and discharge of a mother and the newborn child to determine whether additional medical care is needed for the mother or newborn child or both. Included in medically necessary inpatient care is the...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-48-2.htm - 2K - Match Info - Similar pages
27-55-8
Section 27-55-8 Construction. This chapter does not and shall not be construed as creating a private cause of action and does not and shall not require insurers, including any health benefit plan, to extend coverage to any providers or type of providers for which coverage is not specifically provided within the policy or certificate of insurance or health benefit plan, or to add additional providers to existing networks, or to add any health care benefits. (Act 2000-595, p. 1185, §8.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-55-8.htm - 795 bytes - Match Info - Similar pages
27-58-2
Section 27-58-2 Coverage for annual screening. On and after October 1, 2007, each health benefit plan shall offer, together with identification of associated costs, policies and contracts including coverage for the annual screening for the early detection of prostate cancer in men over age 40. (Act 2007-389, p. 778, §2.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-58-2.htm - 628 bytes - Match Info - Similar pages
27-59-2
Section 27-59-2 Coverage offered for chiropractic. On and after October 1, 2008, each health benefit plan shall offer, together with identification of associated costs, policies, and contracts, coverage for chiropractic. (Act 2008-502, p. 1106, §2.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-59-2.htm - 556 bytes - Match Info - Similar pages
22-5D-4
Section 22-5D-4 Coverage and costs. (a) This chapter does not expand the coverage required of an insurer. (b) A health plan, third party administrator, or governmental agency is not required to provide coverage for the cost of an investigational drug, biological product, or device, or the cost of services related to the use of an investigational drug, biological product, or device under this chapter. (c) This chapter does not require any governmental agency to pay costs associated with the use, care, or treatment of a patient with an investigational drug, biological product, or device. (d) This chapter does not require a hospital or other health care facility to provide new or additional services, unless approved by the hospital or facility. (Act 2015-320, §4.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-5D-4.htm - 1K - Match Info - Similar pages
27-45-3
Section 27-45-3 Choice of pharmaceutical services; right to participate as contracting provider. No health insurance policy or employee benefit plan which is delivered, renewed, issued for delivery, or otherwise contracted for in this state shall: (1) Prevent any person who is a party to or beneficiary of any such health insurance policy or employee benefit plan from selecting the pharmacy or pharmacist of his choice to furnish the pharmaceutical services, including without limitation, prescription drugs, offered by said policy or plan or interfere with said selection provided the pharmacy or pharmacist is licensed to furnish such pharmaceutical services in this state; or (2) Deny any pharmacy or pharmacist the right to participate as a contracting provider for such policy or plan provided the pharmacist is licensed to furnish pharmaceutical services, including without limitation, prescription drugs offered by said policy or plan. (Acts 1988, No. 88-379, p. 565, §3.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-45-3.htm - 1K - Match Info - Similar pages
|