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Ariz. Rev. Stat. § 20-841.08. Prohibiting denial of occupational or physical therapist contract benefits: Hospital, Medical, Dental and Optometric Service Corporations – Arizona
Status: EnactedYear Enacted: 2002
Year Amended: 2004
File: Download
If a hospital service corporation or medical service corporation subscription contract provides coverage for occupational or physical therapy services, and provides both an in-network and out-of-network benefit, a service corporation shall not deny a claim for covered occupational or physical therapy services obtained out-of-network solely on the basis that a physician did not refer the insured to the occupational or physical therapist or prescribe specific occupational or physical therapy services. A service corporation may impose coinsurance, copayments, deductibles, dollar caps, limitations on the number of visits, provider network restrictions or other cost containment measures as a condition of coverage of occupational and physical therapy services for both in-network and out-of-network benefits.
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