§ 4306-B — Primary and preventive obstetric and gynecologic care

New York § 4306-B

• Jurisdiction: New York
• Law ISC: Insurance
• Art. 43: Non-profit Medical and Dental Indemnity, or Health and Hospital Service Corporations

Text

§ 4306-b. Primary and preventive obstetric and gynecologic care. (a)\nNo corporation subject to the provisions of this article shall by\ncontract, written policy or procedure limit a female subscriber's direct\naccess to primary and preventive obstetric and gynecologic services,\nincluding annual examinations, care resulting from such annual\nexaminations, and treatment of acute gynecologic conditions, from a\nqualified provider of such services of her choice from within the plan\nor for any care related to a pregnancy, provided that: (1) such\nqualified provider discusses such services and treatment plan with the\nsubscriber's primary care practitioner in accordance with the\nrequirements of the corporation; and (2) such qualified provider agrees\nto adhere to the corporation's policies and procedures, including any\napplicable procedures regarding referrals and obtaining prior\nauthorization for services other than obstetric and gynecologic services\nrendered by such qualified provider, and agrees to provide services\npursuant to a treatment plan (if any) approved by the corporation.\n (b) A corporation shall treat the provision of obstetric and\ngynecologic care, and the ordering of related obstetric and gynecologic\nitems and services, pursuant to the direct access described in\nsubsection (a) of this section by a participating qualified provider of\nsuch services, as the authorization of the primary care provider.\n (c) It shall be the duty of the administrative officer or other person\nin charge of each corporation subject to the provisions of this article\nto advise each female subscriber, in writing, of the provisions of this\nsection.\n