Georgia § 33-51-6 Incentives for preferred providers

Georgia Statutes

§ 33-51-6 — Incentives for preferred providers

Notwithstanding the provisions of paragraphs (2) and (3) of Code Section 33-51-5 , health benefit plans providing incentives for covered persons to use pharmaceutical or dental services of preferred providers shall provide, and clearly indicate, that the payment or reimbursement for a noncontracting provider of covered pharmaceutical or dental services shall be the same as the payment or reimbursement for a preferred provider of covered pharmaceutical or dental services; provided, however, that the health benefit plan shall not be required to make payment or reimbursement in an amount which is greater than the actual fee charged by the provider for such dental or pharmaceutical services.

Free access — add to your briefcase to read the full text and ask questions with AI

Notwithstanding the provisions of paragraphs (2) and (3) of Code Section 33-51-5 , health benefit plans providing incentives for covered persons to use pharmaceutical or dental services of preferred providers shall provide, and clearly indicate, that the payment or reimbursement for a noncontracting provider of covered pharmaceutical or dental services shall be the same as the payment or reimbursement for a preferred provider of covered pharmaceutical or dental services; provided, however, that the health benefit plan shall not be required to make payment or reimbursement in an amount which is greater than the actual fee charged by the provider for such dental or pharmaceutical services.

Georgia § 33-51-6 (Incentives for preferred providers) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.