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Section 550.1438 Limitation of Benefits; Provision of Other Health Care Benefits.

MI Comp L § 550.1438 (2019) (N/A)
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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 ShieldPopular Name: Act 350

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