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Fla. Stat. § 409.816. Limitations of premiums and cost sharing: Florida Kidcare Act – Florida
Status: Enacted   Year Enacted: 1998
Establishes limits on premiums and cost sharing, including prohibitions related to enrollment fees, premiums, copayments, deductibles, and coinsurance.
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Fla. Stat. § 409.818. Administration: Florida Kidcare Act – Florida
Status: Enacted   Year Enacted: 1998
Outlines Department of Health duties related to designing payments, premium assistance, and approving benefits. Outlines Office of Insurance Regulation duties related to rates.
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Fla. Stat. § 409.9081. Copayments: Medicaid – Florida
Status: Enacted   Year Enacted: 1993
Describes services for which copayments are required.
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Fla. Stat. § 458.323. Itemized patient billing: Medical Practice – Florida
Status: Enacted   Year Enacted: 1979
Provides the physician shall submit to the patient or to the patient’s insurer an itemized statement of the specific services rendered and the charge for each, no later than the physician’s next regular billing cycle.
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Fla. Stat. § 459.012. Itemized patient statement: Medical Practice – Florida
Status: Enacted   Year Enacted: 1979
Provides the osteopathic physician shall submit to the patient or to the patient’s insurer an itemized statement of the specific services rendered and the charge for each, no later than the physician’s next regular billing …
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Fla. Stat. § 460.41. Itemized patient billing: Chiropractic Medicine – Florida
Status: Enacted   Year Enacted: 1979
Provides the chiropractic physician shall submit to the patient or to the patient’s insurer an itemized statement of the specific services rendered and the charge for each, no later than the chiropractic physician’s next regular …
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Fla. Stat. § 461.009. Itemized patient billing: Podiatric Medicine – Florida
Status: Enacted   Year Enacted: 1979
Provides the podiatric physician shall submit to the patient or to the patient’s insurer an itemized statement of the specific services rendered and the charge for each, no later than the podiatric physician’s next regular …
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Fla. Stat. § 627.413. Contents of Policies, in general; identification: The Insurance Contract – Florida
Status: Enacted   Year Enacted: 1959
Specifies what insurance policies must contain, including the premium. Allows for the sale of high deductible health plans that meet the federal requirements of a health savings account and offered in conjunction with a heath …
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Fla. Stat. § 627.4234. Health insurance cost containment provisions required: The Insurance Contract – Florida
Status: Enacted   Year Enacted: 1984
Requires health insurance policies to contain one or more of specific cost containment measures.
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Fla. Stat. § 627.6385. Disclosures to policyholders; calculations of cost sharing: Health Insurance Policies – Florida
Status: Enacted   Year Enacted: 2016
Requires health insurers to make available cost sharing information on their website.
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Fla. Stat. § 627.6425. Renewability of individual coverage: Health Insurance Policies – Florida
Status: Enacted   Year Enacted: 1996
Establishes that an insurer that provides individual health insurance coverage to an individual shall renew or continue in force such coverage at the option of the individual. Sets forth the circumstances where the an insurer …
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Fla. Stat. § 627.658. Use of dividends, refunds, rate reductions, commissions, service fees; premium rates: Group, Blanket, and Franchise Health Insurance Policies – Florida
Status: Enacted   Year Enacted: 1959
Provides that an insurer may issue a group health insurance policy at a premium rate less than the usual rate or premium for an individual insurance policy.
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Fla. Stat. § 627.9175. Reports of information on health and accident insurance: Insurer Reporting – Florida
Status: Enacted   Year Enacted: 1984
Each health insurer, prepaid limited health services organization, and health maintenance organization shall submit, no later than April 1 of each year, to the office information concerning health and accident insurance coverage and medical plans …
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Fla. Stat. § 641.31097. Decreasing inappropriate utilization of emergency services: Health Maintenance Organization Act – Florida
Status: Enacted   Year Enacted: 2004
Includes requirements for health insurers to provide on their websites information about emergency providers, requires insurers to develop emergency room diversion programs, and allows insurers to impose higher copayments for inappropriate use of emergency care.
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Fla. Stat. § 641.54. Information disclosure: Health Care Services – Florida
Status: Enacted   Year Enacted: 1985
Requires HMOs to maintain a list of hospitals used, physicians employed, and estimated copayments, coinsurance, or deductible for any covered services.
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Fla. Stat. §§ 154.501 through 154.507: Primary Care for Children and Families Challenge Grant Act – Florida
Status: Enacted   Year Enacted: 1997
Counties receiving state funding through the Primary Care for Children and Families Challenge Grant Act will have their applications reviewed on several factors including the proposed service network. Establishes that participants receiving care under the …
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