NAC687B.364. Payment for covered services provided by persons other than network providers.

Latest version.

A Medicare select policy or certificate must not restrict payment for services covered under the policy that are provided by persons other than network providers if:

1. The services were for symptoms requiring emergency care or for symptoms of an unforeseen illness or condition requiring immediate attention; or

2. It was not reasonable to obtain the services through a network provider.

(Added to NAC by Comm’r of Insurance, eff. 5-13-96)

                    
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