Limitation of benefits; provision of other health care benefits.

Sec. 438. Notwithstanding any other provision of this act, a health care corporation may limit the benefits it will furnish to an eligible child enrolled in the program to the following primary health care benefits: Doctor office visits for a sick child. Medically necessary outpatient diagnostic tests. Emergency medical and accident care in a doctor's office or hospital's emergency room. Medically necessary outpatient surgery and anesthesia. Preventive care, including, but not limited to, immunizations and well-child visits to a doctor's office. Outpatient substance abuse care. With the commissioner's approval, a health care corporation may provide other health care benefits in addition to the primary health care benefits set forth in subsection (1). History: Add. 1991, Act 60, Imd. Eff. June 27, 1991