§ 14 — Coverage of medically necessary and covered services otherwise unavailable within carrier's provider network

Massachusetts § 14

• Jurisdiction: Massachusetts
• Part I: ADMINISTRATION OF THE GOVERNMENT
• Title XXII: CORPORATIONS
• Ch. 176J: SMALL GROUP HEALTH INSURANCE

Text

Section 14. If a medically necessary and covered service is not available to a member within the carrier's provider network, the carrier shall cover the services out-of-network, for as long as the service is unavailable in-network.