Arizona § 20-111 Health insurers; savings incentive programs; definitions

Arizona Statutes

§ 20-111 — Health insurers; savings incentive programs; definitions

Arizona § 20-111

Title 20Arizona Revised Statutes

Ch. 1GENERAL PROVISIONS

Art. 1Scope of Title

This text of Arizona § 20-111 (Health insurers; savings incentive programs; definitions) is published on Counsel Stack Legal Research, covering Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ariz. Rev. Stat. Ann. § 20-111 (2026).

Text

A.A health insurer may establish a program that provides a savings incentive for enrollees for medically necessary covered health care services that health care providers and health care facilities provide at a price that is below the health insurer's usual reimbursement.

B.The program may enable an eligible enrollee who receives covered health care services from a health care provider or health care facility at a price below the health insurer's usual reimbursement to have the amount the enrollee pays applied toward the enrollee's deductible and out-of-pocket maximum and be reimbursed for a portion of the amount of the difference between the price the enrollee paid and the health insurer's usual reimbursement.

C.For the purposes of this section:

1."Health care facility" means a hos

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A. A health insurer may establish a program that provides a savings incentive for enrollees for medically necessary covered health care services that health care providers and health care facilities provide at a price that is below the health insurer's usual reimbursement.

B. The program may enable an eligible enrollee who receives covered health care services from a health care provider or health care facility at a price below the health insurer's usual reimbursement to have the amount the enrollee pays applied toward the enrollee's deductible and out-of-pocket maximum and be reimbursed for a portion of the amount of the difference between the price the enrollee paid and the health insurer's usual reimbursement.

C. For the purposes of this section:

1. "Health care facility" means a hospital, outpatient surgical center, health care laboratory, diagnostic imaging center or urgent care center.

2. "Health care provider" has the same meaning prescribed in section 32-3216.

3. "Health insurer" has the same meaning prescribed in section 32-3216.

4. "Usual reimbursement" means the amount the health insurer would ordinarily pay an in-network health care provider or an in-network health care facility for the service.