Search state statutes and regulations in all 50 states and the District of Columbia to find out what rights you have in your state and what other states are doing to empower physicians and patients in the face of health insurer market power.
Insurance Contract Provisions
Subscriber and Group Contracts
Definitions; Access Plan Filing and Review Guidelines; Access Plan Updates; Access Plan Specifications; Access Criteria; Mandatory Coverage; Provider-Enrollee Ratio Requirements; Verification of Provider Credentials; Geographic Access Criteria; Exceptions to Geographic Access Criteria; Service Areas; Referral and Specialty Care Requirements; Continuity of Care and Transitional Care; Selecting and Changing Providers; Removal of Barriers to Access; Monitoring the Network; Letters of Intent; Responsibility of Contracted Services
Definitions; Network adequacy; Notice of nonrenewal or termination; Transition of services; Network transparency; Uniform electronic provider directory information
notification forms
Disenrollment of Primary Care Provider; Disenrollment of Providers of Care to Pregnant Women; Disenrollment of Providers of Care to the Terminally Ill; Coverage for the Newly Insured; Carrier’s Coverage Conditions; Denial of Provider Application; Provider Termination Without Cause Provisions
Continuity of care
Continuity of care
Balance billing in cases of emergency services; Balance billing in cases of non-emergency services performed by nonparticipating providers at certain participating facilities; Provider requirements with respect to disclosure on patient protections against balance billing; Enforcement; Air ambulance services; Provision of information upon request and for scheduled appointments; Patient-provider dispute resolution; Continuity of care; Provider requirements to protect patients and improve the accuracy of provider directory information
Continuity of care