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AK SB258
Bill
AI Summary
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Amends AS 21.42.392(c) to prohibit health care insurers that provide dental coverage from limiting fees that dentists may charge for services not covered under the insurer's policy.
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Allows insurers to reimburse covered persons at different rates based on whether the dentist is in-network or out-of-network, provided non-network covered expenses are not less than network provider amounts.
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Permits insurers to offer dentists the option of entering preferred provider contracts with fee schedules for covered services only or for both covered and uncovered services.
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Prohibits insurers from taking action against dentists who refuse to enter contracts, failing to list non-contracted dentists in marketing materials, or taking action based on a dentist's choice of contract type.
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Defines "covered service" as any health care service for which the insurer pays a benefit, including benefits limited by deductible, coinsurance, or frequency restrictions under the insurer-insured contract.
Legislative Description
Dental Care Insurance/preferred Providers
Contracts
Last Action
EFFECTIVE DATE(S) OF LAW 9/13/10
7/9/2010