Rule 120-2-106-.07. Balance Billing provision for covered benefits from non-participating providers

No healthcare plan shall deny or restrict covered benefits from a participating provider to a covered person solely because the covered person obtained treatment from a non-participating provider leading to a balance bill. Notice of such protection shall be provided in writing to the covered person by the insurer.

Authority: O.C.G.A. §§ 33-2-9, 33-20E.

History. Original Rule entitled "Balance Billing provision for coverage benefits from non-participating providers" adopted. F. Dec. 7, 2020; eff. Jan. 1, 2021, as specified by the Agency.