Current through Public Act 156 of the 2024 Legislative Session
Section 550.1438 - Limitation of benefits; provision of other health care benefits(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).Add. 1991, Act 60, Imd. Eff. 6/27/1991.