Montana Statutes
§ 33-32-217 — Disclosure
Montana·Title 33 INSURANCE AND INSURANCE COMPANIES·Ch. 32 HEALTH UTILIZATION REVIEW·Part 2 Utilization Review -- Conduct
33-32-217 . Disclosure.
(1)In the certificate of coverage and member handbook provided to covered persons, a health insurance issuer shall include a clear and comprehensive description of its utilization review procedures, including the procedures for obtaining review of adverse determinations, and a statement of the rights and responsibilities of covered persons with respect to those procedures.
(2)In the outline of coverage provided to covered persons, a health insurance issuer shall include a statement indicating the section of the member handbook containing the information required in subsection (1).
(3)A health insurance issuer shall print on its membership cards a toll-free telephone number to call for utilization review and benefit determinations.
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Legislative History
En. Sec. 9, Ch. 428, L. 2015.
Nearby Sections
15
§ 33-32-101
Purpose§ 33-32-102
Definitions§ 33-32-103
Utilization Review Plan§ 33-32-104
Preemption By Federal Law§ 33-32-105
Application -- Exemptions§ 33-32-107
Length Of Prior Authorization§ 33-32-108
Retroactive Denials Prohibited§ 33-32-109
Biologic Prescriptions For Minors§ 33-32-201
Repealed§ 33-32-203
Repealed§ 33-32-204
Repealed§ 33-32-206
Responsibility For Contracted Services