19 MAC Pt. 3, R. 12.06

Exceptions

Year: 2026Length: 226 wordsOfficial source

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.
19 MAC Pt. 3, R. 12.06: Exceptions | Justis AI