§ 514C.17 — Continuity of care — terminal illness

Iowa § 514C.17

• Jurisdiction: Iowa
• Title XIII: COMMERCE
• Ch. 514C: SPECIAL HEALTH AND ACCIDENT INSURANCE COVERAGES

Text

1. Except as provided under subsection 2 or 3, if a carrier, as defined in section 513B.2,
or a plan established pursuant to chapter 509A for public employees, terminates its contract
with a participating health care provider, a covered individual who is undergoing a specified
course of treatment for a terminal illness or a related condition, with the recommendation of
the covered individual’s treating physician licensed under chapter 148 or treating physician
assistant licensed under chapter 148C may continue to receive coverage for treatment
received from the covered individual’s physician or physician assistant for the terminal
illness or a related condition, for a period of up to ninety days. Payment for covered benefits
and benefit levels shall be according to the terms and conditions of the contract.
2. A covered person who makes a change in health plans involuntarily may request
that the new health plan cover services of the covered person’s treating physician licensed
under chapter 148 or treating physician assistant licensed under chapter 148C who is not
a participating health care provider under the new health plan, if the covered person is
undergoing a specified course of treatment for a terminal illness or a related condition.
Continuation of such coverage shall continue for up to ninety days. Payment for covered
benefits and benefit levels shall be according to the terms and conditions of the contract.
3. Notwithstanding subsections 1 and 2, a carrier or a plan established under chapter
509A which terminates the contract of a participating health care provider for cause shall not
be required to cover health care services provided by the health care provider to a covered
person following the date of termination.