2006 Louisiana Laws - RS 22:213.4 — Additional sources; required coverage

§213.4.  Additional sources; required coverage

A.(1)  Notwithstanding any other provision of law, no hospital, health, or medical expense insurance policy, hospital or medical services contract, employee welfare benefit plan, health and accident insurance policy, or any other insurance contract of this type, including a group insurance or self-insurance plan, shall prohibit the receipt of payment under another such policy for any health care service covered under such other policy, provided that a policy may state that:

(a)  Its deductible amount must be fully satisfied, either by the prior payment of a deductible under another policy in whole or in part or by partial payment of its deductible before any benefits are payable.

(b)  No payment is required under any policy if the health care service in question is not covered by that policy.

(2)  In no event shall the combined payment under multiple policies and federal or state government plans exceed one hundred percent of the charge for the provided health care service.

B.  The provisions of this Section shall not apply to individually underwritten limited benefit and supplemental health insurance policies.

Acts 1992, No. 310, §1; Acts 1995, No. 593, §1.