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Georgia Commons

Código Oficial de Georgia Anotado

Título 33. INSURANCE · Capítulo 24. INSURANCE GENERALLY · Artículo 1. GENERAL PROVISIONS

33-24-59.3. Payments sent directly to health care provider by insurer.

Vigente

Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.

El texto siguiente es la ley tal como la imprime el estado, en inglés.

  1. (a)

    As used in this Code section, the term ‘‘health care insurer’’ means any insurer which issues, delivers, issues for delivery, or renews an individual or group plan, policy, or contract for health care services issued, delivered, issued for delivery, or renewed in this state by a health care corporation, health maintenance organization, preferred provider organization, accident and sickness insurer, fraternal benefit society, or other insurer or similar entity. It shall not, however, include a policy of insurance designed, advertised, and marketed to supplement basic health care coverage for hospital, medical-surgical, or major medical expenses so long as said supplemental insurance contract provides for payment directly to the insured.#

  2. (b)

    Any other provision of law to the contrary notwithstanding, if a covered person provides in writing to a health care provider, whether the health care provider is a preferred provider or not, that payment for health care services shall be made solely to the health care provider and be sent directly to the health care provider by the health care insurer, and the health care provider certifies to same upon filing a claim for the delivery of health care services, the health care insurer shall make payment solely to the health care provider and shall send said payment directly to the health care provider. This subsection shall not be construed to extend coverages or to require payment for services not otherwise covered.#

Las notas siguientes se imprimen con la sección, pero no son ley promulgada (O.C.G.A. § 1-1-1(c)). Se muestran aparte del texto.

History

Code 1981, § 33-24-59.3, enacted by Ga. L. 1998, p. 1382, § 1; Ga. L. 2019, p. 386, § 65/SB 133. The 2019 amendment, effective July 1, 2019, deleted ‘‘hospital service corporation, medical service corporation,’’ following ‘‘fraternal benefit society,’’ near the end of the first sentence of subsection (a).

Code Commission notes

Ga. L. 1998, p. 649; Ga. L. 1998, p. 660; and Ga. L. 1998, p. 1382 each enacted a Code section designated as Code Section 33-24-59.1. Pursuant to Code Section 28-9-5, in 1998, the version enacted by Ga. L. 1998, p. 649 retained the designation as Code Section 33-24-59.1, the version enacted by Ga. L. 1998, p. 660 was redesignated as Code Section 33-24-59.2, and the version enacted by Ga. L. 1998, p. 1382 was redesignated as Code Section 33-24-59.3. Pursuant to Code Section 28-9-5, in 1998, a comma was added following ‘‘advertised’’ and following ‘‘medical-surgical’’ in the last sentence of subsection (a).

Cross references

Preferred provider arrangements, § 33-30-23.

Leer la página oficial (el PDF del estado, abierto en la página de la que se leyó este texto).

Actualizado hasta: Including Acts of the 2025 Regular Session of the General Assembly.

Texto leído de t33-ch23-65-(v25)-2020-pdf.pdf, Volumen V25, edición 2020, páginas 350 a 351; acción de fusión: carried; SHA-256 del archivo 1cdfeaa4b73e.