19 MAC Pt. 3, R. 12.06
Exceptions
Cite as 19 Miss. Admin. Code Pt. 3, R. 12.06
Exceptions
A. Nothing in this Regulation shall be construed to require a mother who is an insured or
enrollee:
1.
To give birth in a hospital; or
2.
To stay in the hospital for a fixed period of time following the birth of her child.
B. This Regulation shall not apply with respect to any group or individual health insurance
coverage offered by a health insurance issuer which does not provide benefits for hospital
lengths of stay in connection with childbirth for a mother or her newborn child.
C. Nothing in this Regulation shall be construed as preventing a health insurance issuer form
imposing deductibles, coinsurance or other cost-sharing in relation to benefits for hospital
lengths of stay in connection with childbirth for a mother or newborn child under group
or individual health insurance coverage, except that such coinsurance or other cost-
sharing for any portion of a period within a hospital length of stay required under
subsections (1) and (2) of Section 4. of this Regulation may not be greater than such
coinsurance or cost-sharing for any preceding portion of such stay.
D. Nothing in this Regulation shall be construed to prevent a health insurance issuer
E. offering group or individual health insurance coverage from negotiating the
F. level and type of reimbursement with a provider for care provided in accordance
G. with this Regulation.