RSA 420-B:8-n Point of Service Plans.

Title: XXXVII - INSURANCE Chapter: 420-B - HEALTH MAINTENANCE ORGANIZATIONS

I. A health maintenance organization may offer a point-of-service plan in accordance with the requirements of this section. A point-of-service plan is a health maintenance organization contract which includes coverage for both in-network services and coverage for services provided by non-contracted providers.
II. A point-of-service plan offered by a health maintenance organization shall:
(a) Provide incentives for enrollees to use in-network covered services.
(b) Offer out-of-network covered services only if those services are also covered on an in-network basis.
(c) Cover out-of-network emergency services as if they had been provided in-network.
III. A point-of-service plan offered by a health maintenance organization may:
(a) Limit or exclude sp

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