Connecticut § 38a-550 Copayments re in-network imaging services.

Connecticut Statutes

§ 38a-550 — Copayments re in-network imaging services.

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

(a)No health insurer, health care center, hospital service corporation, medical service corporation or fraternal benefit society that provides coverage under a group health insurance policy or contract for magnetic resonance imaging or computed axial tomography may (1) require total copayments in excess of three hundred seventy-five dollars for all such in-network imaging services combined annually, or (2) require a copayment in excess of seventy-five dollars for each in-network magnetic resonance imaging or computed axial tomography, provided the physician ordering the radiological services and the physician rendering such services are not the same person or are not participating in the same group practice.

(b)No health insurer, health care center, hospital service corporation, medical

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(a) No health insurer, health care center, hospital service corporation, medical service corporation or fraternal benefit society that provides coverage under a group health insurance policy or contract for magnetic resonance imaging or computed axial tomography may (1) require total copayments in excess of three hundred seventy-five dollars for all such in-network imaging services combined annually, or (2) require a copayment in excess of seventy-five dollars for each in-network magnetic resonance imaging or computed axial tomography, provided the physician ordering the radiological services and the physician rendering such services are not the same person or are not participating in the same group practice. (b) No health insurer, health care center, hospital service corporation, medical service corporation or fraternal benefit society that provides coverage under a group health insurance policy or contract for positron emission tomography may (1) require total copayments in excess of four hundred dollars for all such in-network imaging services combined annually, or (2) require a copayment in excess of one hundred dollars for each in-network positron emission tomography, provided the physician ordering the radiological service and the physician rendering such service are not the same person or are not participating in the same group practice. (c) The provisions of subsections (a) and (b) of this section shall not apply to a high deductible health plan as that term is used in subsection (f) of section 38a-520 and a copayment-only health plan as that term is used in subsection (c) of section 38a-511 . See Sec. 38a-511 for similar provisions re individual policies.

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Legislative History

(P.A. 06-180, S. 2; P.A. 07-54, S. 4; P.A. 18-68, S. 19; July Sp. Sess. P.A. 20-4, S. 36; P.A. 24-81, S. 103.) History: P.A. 07-54 made technical changes in Subsecs. (a) and (b), effective May 22, 2007; P.A. 18-68 made a technical change in Subsec. (c); July Sp. Sess. P.A. 20-4 amended Subsec. (c) by substituting “high deductible health plan” for “high deductible plan”; P.A. 24-81 amended Subsec. (c) to provide that section's provisions shall not apply to copayment-only health plans, effective January 1, 2025.