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3548 results returned. (Total pages 222)

210 Ill. Comp. Stat. § 89/10. Uninsured patient discounts: Hospital Uninsured Patient Discount Act – Illinois
Status: Enacted     Year Enacted: 2008
Discount. For all health care services exceeding $300 in any one inpatient admission or outpatient encounter, a hospital shall not collect from an uninsured patient, deemed eligible under subsection (a), more than its charges less …
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210 Ill. Comp. Stat. § 89/15. Patient responsibility: Hospital Uninsured Patient Discount Act – Illinois
Status: Enacted     Year Enacted: 2008
Hospitals may make the availability of a discount and the maximum collectible amount under this Act contingent upon the uninsured patient first applying for coverage under public programs, such as Medicare, Medicaid, AllKids, the State …
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210 Ill. Comp. Stat. § 89/20. Exemption and limitations: Hospital Uninsured Patient Discount Act – Illinois
Status: Enacted     Year Enacted: 2008
Hospitals that do not charge for their services are exempt from the provisions of this Act. Nothing in this Act shall be used by any private or public health care insurer or plan as a …
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210 Ill. Comp. Stat. § 89/5. Definitions: Hospital Uninsured Patient Discount Act – Illinois
Status: Enacted     Year Enacted: 2008
Definitions for the Hospital Uninsured Patient Discount Act.
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215 Ill. Comp. Stat. § 105/2. Definitions: Comprehensive Health Insurance Plan Act – Illinois
Status: Enacted     Year Enacted: 1987
Definitions for the Comprehensive Health Insurance Plan Act.
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215 Ill. Comp. Stat. § 106/10. Definitions: Children’s Health Insurance Program Act – Illinois
Status: Enacted     Year Enacted: 1998
Definitions for the Children’s Health Insurance Program Act.
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215 Ill. Comp. Stat. § 106/25. Health benefits for children: Children’s Health Insurance Program Act – Illinois
Status: Enacted     Year Enacted: 1998
The Department is prohibited from denying coverage to a child who is enrolled in a privately sponsored health insurance plan pursuant to subdivision (a)(1) because the plan does not meet federal benchmarking standards or cost …
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215 Ill. Comp. Stat. § 106/30. Cost sharing: Children’s Health Insurance Program Act – Illinois
Status: Enacted     Year Enacted: 1998
There shall be no co-payment required for well-baby or well-child care, including age-appropriate immunizations as required under federal law. Copayments for families at the poverty line are set forth in this section.
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215 Ill. Comp. Stat. § 125/1-2. Definitions: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1974
Definitions for the Health Maintenance Organization Act.
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215 Ill. Comp. Stat. § 125/4-10. Medical necessity; dispute resolution; independent second opinion: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1987
There is an indepenent review process for what constitutes “medically necessary“ for a certain patient.
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215 Ill. Comp. Stat. § 125/4-17. Basic outpatient preventive and primary health care services for children: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1997
In order to attempt to address the needs of children in Illinois (i) without health care coverage, either through a parent’s employment, through medical assistance under the Illinois Public Aid Code,1 or any other health …
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215 Ill. Comp. Stat. § 125/4-20. Deductibles and copayments: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 2013
HMOs may require deductibles and copayments of enrollees as a condition for the receipt of specific health care services, including basic health care services. Deductibles and copayments shall be the only allowable charges, other than …
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215 Ill. Comp. Stat. § 125/4.5-1. Point-of-service health service contracts: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 2002
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 …
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215 Ill. Comp. Stat. § 134/10. Definitions: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
Definitions for the Managed Care Reform and Patient Rights Act.
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215 Ill. Comp. Stat. § 134/15. Provision of information: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A health care plan shall provide annually to enrollees and prospective enrollees, upon request, a complete list of participating health care providers in the health care plan’s service area and a description of the following …
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215 Ill. Comp. Stat. § 134/40. Access to specialists: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A health care plan shall establish a procedure by which an enrollee who has a condition that requires ongoing care from a specialist physician or other health care provider may apply for a standing referral …
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