- (a) This section does not apply to a referral made by a provider that has confirmed that the provider to which a covered individual is referred is a network provider with respect to the covered individual's health plan.
(b) A provider that makes a referral shall provide to the covered individual an electronic or paper copy of written notice that states all the following:
- (1) That an out of network provider may be called upon to render health care items or services to the covered individual during the course of treatment.
- (2) That an out of network provider described in subdivision (1) is not bound by the payment provisions that apply to health care items or services rendered by a network provider under the covered individual's health plan.
(3) That the covered individual may contact the covered individual's health plan before receiving health care items or services rendered by an out of network provider described in subdivision (1):
- (A) to obtain a list of network providers that may render the health care items or services; and
- (B) for additional assistance.
As added by P.L.147-2017, SEC.1.