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Mississippi Code Title 83. Insurance § 83-9-373

Current as of January 01, 2025 | Updated by Findlaw Staff

<This section is repealed pursuant to its own terms on June 30, 2028.>

(1)(a) The minimum allowable reimbursement rate under any policy of accident and sickness insurance as defined by Section 83-9-1 to an out-of-network ambulance service provider for all covered services shall be the rates contracted between an ambulance service provider and a county, municipality or special purpose district or authority, or otherwise approved or established by ordinance or regulation enacted by any such county, municipality or special purpose district or authority in which the covered healthcare services originated.

(b) In the absence of rates provided in subsection (a), the minimum allowable reimbursement rate to an out-of-network ambulance service provider shall be the greater of:

(i) Three hundred twenty-five percent (325%) of the reimbursement allowed by Medicare for the respective services originating in the respective geographic area; or

(ii) The ambulance service provider's billed charges.

(2) A payment made under this section shall be considered payment in full for the covered services provided, except for any copayment, coinsurance, deductible and other cost-sharing feature amounts required to be paid by the enrollee.

(3) For purposes of this section, the term “ambulance service provider” means a person or entity that provides ambulance transportation and emergency medical services to a patient for which a permit is required under Section 41-59-9.

(4) This section shall stand repealed on June 30, 2028.

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Cite this article: FindLaw.com - Mississippi Code Title 83. Insurance § 83-9-373 - last updated January 01, 2025 | https://codes.findlaw.com/ms/title-83-insurance/ms-code-sect-83-9-373/

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