California Insurance Code

§ 10126.65

INS § 10126.65 Effective Jan 1, 2020Div. 2 · Part 2 · Ch. 1 · Art. 1

Statute text

(a)(1) Notwithstanding Section 10352, a health insurance policy issued, amended, or renewed on or after January 1, 2020, shall provide that if an insured or subscriber receives covered services from a noncontracting air ambulance provider, the insured or subscriber shall pay no more than the same cost sharing that the insured or subscriber would pay for the same covered services received from a contracting air ambulance provider. This amount shall be referred to as the “in-network cost-sharing amount.”

(2)A subscriber or insured shall not owe the noncontracting provider more than the in-network cost-sharing amount for services subject to this section. At the time of payment by the insurer to the noncontracting provider, the insurer shall inform the insured or subscriber and the noncontracting provider of the in-network cost-sharing amount owed by the insured or subscriber.

(b)The following shall apply for purposes of this section:

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Legislative history

Added by Stats. 2019, Ch. 537, Sec. 3. (AB 651) Effective January 1, 2020.