Bill > HB286

This bill requires that inadvertent out-of-network services be included in individual and group health insurance policies as well as group and blank health insurance policies in Delaware. Inadvertent out-of-network services are defined as health care services that are covered under a policy or contract of health insurance but are provided by an out-of-network provider in an in-network facility, or when in-network health care services are unavailable or not made available to the insured in the facility. Inadvertent out-of-network services also include laboratory testing ordered by an in-network provider but performed by an out-of-network laboratory. The bill also requires the Insurance Commissioner to promulgate regulations to implement the provisions of the Act and ensure that health insurance carriers maintain adequate provider networks.

Health and Social Services

http://legis.delaware.gov/BillDetail?LegislationId=47981