Mont. Admin. r. 6.6.607

Current through Register Vol. 1, January 10, 2025
Rule 6.6.607 - MEDICARE SELECT FULL COVERAGE
(1) A medicare select policy or certificate must not restrict payment for covered services provided by non-network providers if:
(a) the services are for symptoms requiring emergency care or are immediately required for an unforeseen illness, injury or a condition; and
(b) it is not reasonable to obtain such services through a network provider.
(2) A medicare select policy or certificate must provide payment for full coverage under the policy for covered services that are not available through network providers.

Mont. Admin. r. 6.6.607

NEW, 1996 MAR p. 907, Eff. 4/5/96; AMD, 2004 MAR p. 313, Eff. 2/13/04.

33-22-904 and 33-22-905, MCA; IMP, 33-22-902, 33-22-903, 33-22-904, 33-22-921, 33-22-922, 33-22-923 and 33-22-924, MCA;