Del. Code tit. 18, § 3348. Referrals: Uniform Health Policy Provisions Law – Delaware
Status: Enacted Year Enacted: 2001
Statute requires that all individual and group health insurance policies shall provide that if medically necessary covered services are not available through network providers, individual and group health insurance policies shall allow referral to a …
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Del. Code tit. 18, § 3349. Emergency care: Uniform Health Policy Provisions Law – Delaware
Status: Enacted Year Enacted: 1995
All individual and group health insurance policies shall provide that persons covered under those policies will be insured for emergency care services performed by nonnetwork providers at an agreed-upon or negotiated rate, regardless of whether …
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Del. Code tit. 18, § 3370. Telemedicine: Uniform Health Policy Provisions Law – Delaware
Status: Enacted Year Enacted: 2015
Statute provides that each insurer and health maintenance organization shall provide coverage for the cost of healthcare services offered through telemedicine and telehealth.
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Del. Code tit. 18, § 3370A. Network disclosure and transparency: Uniform Health Policy Provisions Law – Delaware
Status: Enacted Year Enacted: 2016
Statute requires out-of-network facilities providing nonemergency services to provide the insured with a timely written out-of-network disclosure that states the care may result in additional charges that the insured may be responsible for and a …
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Del. Code tit. 18, § 3517. Preexisting conditions, limits: Group Health Insurance – Delaware
Status: Enacted Year Enacted: 1987
Statute prohibits group health insurance policies from including a provision that excludes coverage, and a health insurer from denying a claim as a result of a disease or physical condition that existed prior to the …
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Del. Code tit. 18, § 3551. Filing of Rates: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 1976
The rates of group health insurance and blanket health insurance shall be filed pursuant to and be subject to the requirements of Chapter 25 of this title.
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Del. Code tit. 18, § 3564. Referrals: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2001
Statute requires that all individual and group health insurance policies shall provide that if medically necessary covered services are not available through network providers, individual and group health insurance policies shall allow referral to a …
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Del. Code tit. 18, § 3571H. Payment for emergency medical services: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
Statute provides that the limitation on balance billing found in § 3348 of this chapter does not apply to billing for emergency medical services within the scope of this section.
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Del. Code tit. 18, § 3571L. Nondiscrimination in health care: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
Statute prohibits a group health plan and a health insurer offering group health insurance coverage from discriminating with respect to participation under the plan against any healthcare provider, but does not require that a group …
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Del. Code tit. 18, § 3571M. Comprehensive health insurance coverage: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
A health insurer that offers health insurance coverage in the small group market shall ensure that such coverage includes the essential health benefits package in conformity with § 1302 of the Patient Protection and Affordable …
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Del. Code tit. 18, § 3571N. Prohibiting discrimination against individual participants and beneficiaries based on health status: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
Statute governs programs of health promotion or disease prevention offered by an employer and premium discounts and rebates for participation in wellness programs.
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Del. Code tit. 18, § 3571P. Rating factors: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2013
Statute regulates the establishment of rates for health insurance coverage in the small group market.
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Del. Code tit. 18, § 3571R. Telemedicine: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 1995
Statute require that insurers, health service corporations and health maintenance organizations that provide healthcare plans or services to provide coverage for the cost of healthcare services provided through telemedicine and telehealth. Statute requires insurers, health …
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Del. Code tit. 18, § 3571S. Network disclosure and transparency: Provisions Applicable to Group and Blanket Health Insurance – Delaware
Status: Enacted Year Enacted: 2016
Statute requires out-of-network facilities providing nonemergency services to provide the insured with a timely written out-of-network disclosure that states the care may result in additional charges that the insured may be responsible for and a …
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Del. Code tit. 18, § 7207. Availability of coverage; preexisting conditions; minimum participation: Small Employer Health Insurance – Delaware
Status: Enacted Year Enacted: 1992
Provides every small employer carrier shall actively offer to small employers at least 2 health benefit plans, file with the Commissioner, in a format and manner prescribed by the Commissioner, and shall not deny, exclude …
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Del. Code tit. 18, § 7211. Health benefit plan committee: Small Employer Health Insurance – Delaware
Status: Enacted Year Enacted: 1992
Statutes create a Health Benefit Plan Committee which shall recommend benefit and cost sharing level and may also include cost containment features such as utilization review. The Committee shall analyze the effectiveness of the chapter …
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