2016 Maryland Code
Insurance
Title 15 - Health Insurance
Subtitle 7 - Required Reimbursement for Services of Health Care Providers
§ 15-702. Dentists, physicians, and podiatrists under self-funded group insurance plans
(a) Scope of section. -- This section applies to each self-funded group insurance plan that:
(1) (i) is formed by an order, society, or association that is incorporated or has a main office in the State; or
(ii) covers individuals who reside or work in the State; and
(2) is issued, renewed, amended, or reissued on or after July 1, 1972.
(b) Reimbursement for services. -- Notwithstanding any other provision of a self-funded group insurance plan subject to this section, if the plan provides for reimbursement for a service that is within the lawful scope of practice of a physician, dentist, or podiatrist, the plan may not prohibit a person covered by the plan from being reimbursed for the service regardless of whether the service is performed by a physician, dentist, or podiatrist.
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