Connecticut § 38a-478j Coinsurance and deductible payments based on negotiated discounts.

Connecticut Statutes

§ 38a-478j — Coinsurance and deductible payments based on negotiated discounts.

Connecticut·Title 38a Insurance·Ch. 700c Health Insurance

Each managed care plan that requires a deductible or percentage coinsurance payment by the insured shall calculate the insured's deductible or coinsurance payment on the lesser of the provider's or vendor's charges for the goods or services or the amount payable by the managed care organization or a subcontractor of such managed care organization for such goods or services, except as otherwise required by the laws of a foreign state when applicable to providers, vendors or patients in such foreign state.

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Each managed care plan that requires a deductible or percentage coinsurance payment by the insured shall calculate the insured's deductible or coinsurance payment on the lesser of the provider's or vendor's charges for the goods or services or the amount payable by the managed care organization or a subcontractor of such managed care organization for such goods or services, except as otherwise required by the laws of a foreign state when applicable to providers, vendors or patients in such foreign state.

Connecticut § 38a-478j (Coinsurance and deductible payments based on negotiated discounts.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

(P.A. 97-99, S. 11; June 18 Sp. Sess. P.A. 97-8, S. 59, 88; P.A. 19-117, S. 239.) History: June 18 Sp. Sess. P.A. 97-8 added exception re laws of a foreign state, effective July 1, 1997; P.A. 19-117 added references to deductible and added “or a subcontractor of such managed care organization”, effective January 1, 2020.