New Mexico § 59A-23-15 Physical rehabilitation services; limits on cost sharing

New Mexico Statutes

§ 59A-23-15 — Physical rehabilitation services; limits on cost sharing

New Mexico·Ch. 59A Insurance Code·Art. 23 Group and Blanket Health Insurance Contracts

A. A group or blanket health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state shall not impose a member cost share for physical rehabilitation services that is greater than that for primary care services on a coinsurance percentage basis when coinsurance is applied or on an absolute dollar amount when a copay is applied. B. As used in this section:

(1)"physical rehabilitation services" means services aimed at maximizing an individual's level of function, returning to a prior level of function or maintaining or slowing the decline of function, which services are provided by or under the direction of a licensed physical therapist, occupational therapist or speech therapist; and (2) "primary care services" m

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

A. A group or blanket health insurance policy, health care plan or certificate of health insurance that is delivered, issued for delivery or renewed in this state shall not impose a member cost share for physical rehabilitation services that is greater than that for primary care services on a coinsurance percentage basis when coinsurance is applied or on an absolute dollar amount when a copay is applied. B. As used in this section: (1) "physical rehabilitation services" means services aimed at maximizing an individual's level of function, returning to a prior level of function or maintaining or slowing the decline of function, which services are provided by or under the direction of a licensed physical therapist, occupational therapist or speech therapist; and (2) "primary care services" means the first level of basic or general health care for a person's health needs, including diagnostic and treatment services, initiation of referrals for other health care services and maintenance of the continuity of care when appropriate.

New Mexico § 59A-23-15 (Physical rehabilitation services; limits on cost sharing) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.