ARM 6.6.607

ARM 6.6.607. MEDICARE SELECT FULL COVERAGE

Last amended: 2004Length: 80 wordsOfficial source

Cite as Mont. Admin. R. 6.6.607

(1) A medicare select policy or certificate must not restrict payment for covered services provided by non-network providers if: (a) the services are for symptoms requiring emergency care or are immediately required for an unforeseen illness, injury or a condition; and (b) it is not reasonable to obtain such services through a network provider. (2) A medicare select policy or certificate must provide payment for full coverage under the policy for covered services that are not available through network providers.
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