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1521 results returned. (Total pages 96)

215 Ill. Comp. Stat. § 105/6. Contents of plan: Comprehensive Health Insurance Plan Act – Illinois
Status: Enacted     Year Enacted: 1987
The plan shall include, but is not limited to, schedules of premiums and benefits, limitations, exclusions, deductibles, coinsurance payments, and other policy terms and conditions established in accordance with appropriate actuarial principles and all the …
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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. § 125/4-20. 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. § 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. § 134/72. Pharmacy providers: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A health care plan shall apply the same co-insurance, copayment, and deductible factors to all drug prescriptions filled by a pharmacy provider that participates in the health care plan’s network. A health care plan may …
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215 Ill. Comp. Stat. § 170/40. Cost-sharing: Covering All Kids Health Insurance Act – Illinois
Status: Enacted     Year Enacted: 2006
The Department, by rule, shall set forth requirements concerning co-payments and coinsurance for health care services and monthly premiums. This cost-sharing shall be on a sliding scale based on family income. The Department may periodically …
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215 Ill. Comp. Stat. § 5/356z.3a. Nonparticipating facility-based physicians and providers: Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 2011
When a beneficiary, insured, or enrollee utilizes a participating network hospital or a participating network ambulatory surgery center and, due to any reason, in network services for radiology, anesthesiology, pathology, emergency physician, or neonatology are …
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215 Ill. Comp. Stat. § 5/356z.4. Coverage for contraceptives: Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 2004
The General Assembly hereby finds and declares medical management techniques such as denials, step therapy, or prior authorization in public and private health care coverage can impede access to the most effective contraceptive methods. All …
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215 Ill. Comp. Stat. § 93/25. Premium Rates: Small Employer Health Insurance Rating Act – Illinois
Status: Enacted     Year Enacted: 2000
Premium rates shall be set in accordance with this subsection.
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215 Ill. Comp. Stat. § 97/25. Prohibiting discrimination against individual participants: Illinois Health Insurance Portability and Accountability Act – Illinois
Status: Enacted     Year Enacted: 1997
Eligibilty and rates may not be contingent on health status, medical condition (including both physical and mental illnesses), claims experience, receipt of health care, medical history, genetic information, evidence of insurability (including conditions arising out …
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215 Ill. Comp. Stat. § 97/30. Guaranteed renewability of coverage for employers in the group market: Illinois Health Insurance Portability and Accountability Act – Illinois
Status: Enacted     Year Enacted: 1997
In general, if a health insurance issuer offers health insurance coverage in the small or large group market in connection with a group health plan, the issuer must renew or continue in force such coverage …
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23 R.I. Gen. Law § 23-17-61. Written estimates for hospital medical services: Health Care Facility Licensing Act of Rhode Island – Rhode Island
Status: Enacted     Year Enacted: 2014
Requires that a hospital provide to a prospective patient, the requested cost estimate of their requested anticipated hospital services within five business days of request and the cost of any facility fee.
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27 R.I. Gen. Laws § 27-18-76. Emergency services: Accident and Sickness Insurance Policies – Rhode Island
Status: Enacted     Year Enacted: 2012
If a nonprofit medical service corporation offering health insurance coverage provides any benefits with respect to services in an emergency department of a hospital, it must cover emergency services consistent with the rules of this …
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27 R.I. Gen. Laws § 27-19-6. Rates charged subscribers — Reserves: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted     Year Enacted: 1939
The rates proposed to be charged, or a rating formula proposed to be used, by any corporation organized under this chapter to employers, the state or any political subdivision of the state, or individuals, shall …
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27 R.I. Gen. Laws § 27-19-66. Emergency services: Nonprofit Hospital Service Corporations – Rhode Island
Status: Enacted     Year Enacted: 2012
If a nonprofit medical service corporation offering health insurance coverage provides any benefits with respect to services in an emergency department of a hospital, it must cover emergency services consistent with the rules of this …
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27 R.I. Gen. Laws § 27-20-1. Definitions: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted     Year Enacted: 1945
Definitions related to Nonprofit Medical Service Corporations
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