New York S04012 mandates insurers to notify insureds if an out-of-network physician will be used in their procedure, test, or surgery, and requires.
New York S04012 amends the insurance law to require insurers to inform insureds before a procedure, test, or surgery if an out-of-network physician will be involved, and that such services will not be covered by their insurance policy. If the insured does not receive this notification prior to the service, the insurer must cover the costs of the out-of-network physician. This applies to all accident and health insurance policies delivered or issued in New York.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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