Legislation


215 Ill. Comp. Stat. § 125/4.5-1. Point-of-service health service contracts: Health Maintenance Organization Act – Illinois

Status: Enacted
Year Enacted: 2002
Year Amended: 2003
File: Download

HMOs may offer point-of-service contracts must abide by these limitations, including that the contract must include as in-plan covered services all services required by law to be provided by a health maintenance organization; must provide incentives, which shall include financial incentives, for enrollees to use in-plan covered services; may not offer services out-of-plan without providing those services on an in-plan basis.


Return to Database Search

© 2018- The SLIHCQ DatabaseInitial funding for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

Associated Litigation:

No items found