Mo. Rev. Stat. § 376.325. Acceptance of licensed physicians into closed or exclusive provider network, when: Life, Health and Accident Insurance – Missouri

Status: Enacted
Year Enacted: 2013
File: Download

To the extent a health carrier has developed a closed or exclusive provider network as provided in subdivision (19) of section 376.426 through contractual arrangements with selected providers, such health carrier shall accept into such closed or exclusive network any willing licensed physician who agrees to accept a fee schedule, payment, or reimbursement rate that is fifteen percent less than the health carrier’s standard prevailing or market fee schedule, payment, or reimbursement rate for such network in the specific geography of the licensed physician’s practice.


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