This is a historical version of this statute chapter. Also view the most recent published version.
(a) Health plan companies shall allow female enrollees direct access to obstetricians and gynecologists for the following services:
(1) annual preventive health examinations, which shall include a gynecologic examination, and any subsequent obstetric or gynecologic visits determined to be medically necessary by the examining obstetrician or gynecologist, based upon the findings of the examination;
(2) maternity care; and
(3) evaluation and necessary treatment for acute gynecologic conditions or emergencies.
(b) For purposes of this section, "direct access" means that a female enrollee may obtain the obstetric and gynecologic services specified in paragraph (a) from obstetricians and gynecologists in the enrollee's network without a referral from, or prior approval through, another physician, the health plan company, or its representatives.
(c) Health plan companies shall not require higher co-payments, coinsurance, deductibles, or other enrollee cost-sharing for direct access.
(d) This section applies only to services described in paragraph (a) that are covered by the enrollee's coverage, but coverage of a preventive health examination for female enrollees must not exclude coverage of a gynecologic examination.
Copyright © 2011 by the Revisor of Statutes, State of Minnesota. All rights reserved.