Sec. 3406l.
(1) Except as otherwise provided in subsections (2) and (3), an expense-incurred hospital, medical, or surgical policy or certificate that provides benefits for emergency services shall provide for direct reimbursement to any provider of covered medical transportation services or shall provide that payment be made jointly to the insured and the provider, if that provider has not received payment for those services from any other source.
(2) Subsection (1) does not apply to a transaction between an insurer and a medical transportation service provider if the parties have entered into a contract providing for direct payment.
(3) An insurer for a policy or certificate issued under section 3405 or 3631 does not have to provide for direct reimbursement to any nonaffiliated or nonparticipating provider for medical transportation services that were not emergency health services as defined in section 3406k.
(4) Subsection (1) applies to an expense-incurred hospital, medical, or surgical policy or certificate that provides benefits for emergency health services if the policy or certificate is delivered, issued for delivery, or renewed in this state on or after September 1, 2004.
(5) This section does not apply to a health maintenance organization contract.
History: Add. 2004, Act 171, Imd. Eff. June 24, 2004
Popular Name: Act 218
Last modified: October 10, 2016