Louisiana Revised Statutes Tit. 37, § 1360.89. Direct agreement requirements; disclaimer

“This agreement does not provide comprehensive health insurance coverage. It provides only the health care services specifically described.”

B. A comprehensive disclosure statement shall be distributed to all direct patients with their participation forms. The disclosure shall inform a direct patient of his financial rights and responsibilities to the direct practice as provided for in this Part, encourage a direct patient to obtain and maintain insurance for services not provided by the direct practice, and state that the direct practice will not bill a health insurance issuer for services covered under the direct agreement. The disclosure statement shall include contact information for the board.