---
title: O.C.G.A. § 33-51-5. Nonpreferred provider reimbursement.
collection: code
id: 33-51-5
cite_as: O.C.G.A. § 33-51-5 (2025)
canonical_url: https://georgiacommons.org/code/33-51-5
md_url: https://georgiacommons.org/code/33-51-5.md
text_url: https://georgiacommons.org/code/33-51-5/text
source_url: https://www.legis.ga.gov/api/document/docs/default-source/joint-features-document-library/t33-ch23-65-(v25)-2020-pdf.pdf?sfvrsn=68297_0#page=979
date: 2025
status: active
corpus_version: 2025-supplement-89aa39ab3c68
license: CC0-1.0
publisher: Georgia Commons, an independent project of Georgia Civic Data. Not the State of Georgia. Not legal advice.
up: https://georgiacommons.org/code/33-51.md
previous: https://georgiacommons.org/code/33-51-4.md
next: https://georgiacommons.org/code/33-51-6.md
index: https://georgiacommons.org/code/index.md
version: the only printed version
in_force: true
current_through: Including Acts of the 2025 Regular Session of the General Assembly
heading_path: INSURANCE / GEORGIA AFFORDABLE HSA ELIGIBLE HIGH DEDUCTIBLE HEALTH PLAN
---

# O.C.G.A. § 33-51-5. Nonpreferred provider reimbursement.

There shall be no required relationship between preferred provider and nonpreferred provider plan reimbursements for health savings account eligible high deductible plans using nonpreferred provider reimbursements. Such plans, however, shall not:

(1) Unfairly deny health benefits for medically necessary covered services;

(2) Have differences in benefit levels payable to preferred providers compared to other providers that unfairly deny benefits for covered services;

(3) Have a plan coinsurance percentage applicable to benefit levels for services provided by nonpreferred providers that is less than 60 percent of the benefit levels under the policy for such services; or

(4) Have an adverse effect on the availability or the quality of services.

## History

Code 1981, § 33-51-5, enacted by Ga. L. 2008, p. 292, § 3/HB 977.