South Dakota § 58-17H-51 Reclassification of benefits with respect to cancer treatment medications.

South Dakota Statutes

§ 58-17H-51 — Reclassification of benefits with respect to cancer treatment medications.

South Dakota·Title 58 INSURANCE·Ch. 58-17E UTILIZATION REVIEW AND BENEFIT DETERMINATIONS

A health carrier may not reclassify benefits with respect to cancer treatment medications or increase a copayment, deductible, or coinsurance amount for covered cancer treatment medications that are injected or intravenously administered unless:

(1)The increase is applied generally to other medical or pharmaceutical benefits covered under the plan and is not done to circumvent § 58-17H-50 ;

(2)The reclassification of benefits with respect to cancer treatment medications is done in a manner that is consistent with §§ 58-17H-50 to 58-17H-52 , inclusive; or (3) A health carrier is applying cost-sharing increases consistent with the annual increases in the cost of health care.

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A health carrier may not reclassify benefits with respect to cancer treatment medications or increase a copayment, deductible, or coinsurance amount for covered cancer treatment medications that are injected or intravenously administered unless: (1) The increase is applied generally to other medical or pharmaceutical benefits covered under the plan and is not done to circumvent § 58-17H-50 ; (2) The reclassification of benefits with respect to cancer treatment medications is done in a manner that is consistent with §§ 58-17H-50 to 58-17H-52 , inclusive; or (3) A health carrier is applying cost-sharing increases consistent with the annual increases in the cost of health care.

South Dakota § 58-17H-51 (Reclassification of benefits with respect to cancer treatment medications.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.