Este capítulo será aplicable a todas las organizaciones de seguros de salud o aseguradores, o sus designados, que provean o administren beneficios de medicamentos de receta para pacientes ambulatorios, conforme las disposiciones del plan médico emitido, mediante el uso de un formulario o la aplicación de otro procedimiento de manejo de los beneficios de medicamentos de receta.
Las disposiciones de este capítulo no serán aplicables a los medicamentos de receta que se excluyan categóricamente o por disposición contractual del plan médico de la persona cubierta o asegurado. Las disposiciones del plan médico que pretendan excluir todos los medicamentos de receta que no estén incluidos en el formulario no se considerarán una exclusión categórica para los fines de este capítulo.
Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal insurance products you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.
LegalFix provides its members with access to legal services through a network of provider law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.
The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our provider law firms.
You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your provider law firm.
The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.
Use of this website, the purchase of legal insurance products, and access to the LegalFix network of provider law firms are subject to the LegalFix Terms of Service and Privacy Policy.
