§ 3217-C — Primary and preventive obstetric and gynecologic care

New York § 3217-C

• Jurisdiction: New York
• Law ISC: Insurance
• Art. 32: Insurance Contracts - Life, Accident and Health, Annuities

Text

§ 3217-c. Primary and preventive obstetric and gynecologic care. (a)\nNo insurer subject to this article shall by contract, written policy or\nprocedure limit a female insured's direct access to primary and\npreventive obstetric and gynecologic services, including annual\nexaminations, care resulting from such annual examinations, and\ntreatment of acute gynecologic conditions, from a qualified provider of\nsuch services of her choice from within the plan or for any care related\nto a pregnancy, provided that: (1) such qualified provider discusses\nsuch services and treatment plan with the insured's primary care\npractitioner in accordance with the requirements of the insurer; and (2)\nsuch qualified provider agrees to adhere to the insurer's policies and\nprocedures, including any applicable procedures regarding referrals and\nobtaining prior authorization for services other than obstetric and\ngynecologic services rendered by such qualified provider, and agrees to\nprovide services pursuant to a treatment plan (if any) approved by the\ninsurer.\n (b) An insurer shall treat the provision of obstetric and gynecologic\ncare, and the ordering of related obstetric and gynecologic items and\nservices, pursuant to the direct access described in subsection (a) of\nthis section by a participating qualified provider of such services, as\nthe authorization of the primary care provider.\n (c) It shall be the duty of the administrative officer or other person\nin charge of each insurer subject to the provisions of this article to\nadvise each female insured, in writing, of the provisions of this\nsection.\n