Sec. 438.
(1) Notwithstanding any other provision of this act, a health care corporation may limit the benefits it will furnish to an eligible child enrolled in the program to the following primary health care benefits:
(a) Doctor office visits for a sick child.
(b) Medically necessary outpatient diagnostic tests.
(c) Emergency medical and accident care in a doctor's office or hospital's emergency room.
(d) Medically necessary outpatient surgery and anesthesia.
(e) Preventive care, including, but not limited to, immunizations and well-child visits to a doctor's office.
(f) Outpatient substance abuse care.
(2) With the commissioner's approval, a health care corporation may provide other health care benefits in addition to the primary health care benefits set forth in subsection (1).
History: Add. 1991, Act 60, Imd. Eff. June 27, 1991
Popular Name: Blue Cross-Blue Shield
Popular Name: Act 350
Last modified: October 10, 2016