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Utah Code Title 31A. Insurance Code § 31A-22-624. Primary care physician or physician assistant

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

An accident and health insurance policy that requires an insured to select a primary care physician to receive optimum coverage:

(1) shall permit an insured to select a participating provider who:

(a) is an:

(i) obstetrician;

(ii) gynecologist;

(iii) pediatrician; or

(iv) physician assistant who works with a physician:

(A) providing primary care; or

(B) described in Subsections (1)(a)(i), (ii), or (iii); and

(b) is qualified and willing to provide primary care services, as defined by the health care plan, as the insured's provider from whom primary care services are received;

(2) shall clearly state in literature explaining the policy the option available to insureds under Subsection (1); and

(3) may not impose a higher premium, higher copayment requirement, or any other additional expense on an insured because the insured selected a primary care physician in accordance with Subsection (1).

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Cite this article: FindLaw.com - Utah Code Title 31A. Insurance Code § 31A-22-624. Primary care physician or physician assistant - last updated January 01, 2025 | https://codes.findlaw.com/ut/title-31a-insurance-code/ut-code-sect-31a-22-624/

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