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Arizona Revised Statutes Title 20. Insurance § 20-841.08. Prohibiting denial of occupational or physical therapist contract benefits

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If a hospital service corporation or medical service corporation subscription contract provides coverage for occupational or physical therapy services, and provides both an in-network and out-of-network benefit, a service corporation shall not deny a claim for covered occupational or physical therapy services obtained out-of-network solely on the basis that a physician did not refer the insured to the occupational or physical therapist or prescribe specific occupational or physical therapy services.  A service corporation may impose coinsurance, copayments, deductibles, dollar caps, limitations on the number of visits, provider network restrictions or other cost containment measures as a condition of coverage of occupational and physical therapy services for both in-network and out-of-network benefits.

Cite this article: FindLaw.com - Arizona Revised Statutes Title 20. Insurance § 20-841.08. Prohibiting denial of occupational or physical therapist contract benefits - last updated March 08, 2022 | https://codes.findlaw.com/az/title-20-insurance/az-rev-st-sect-20-841-08/


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