44-5307 Policy or contract; benefits required; coverage authorized; prohibitions. - Nebraska Statutes

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Statutes > Nebraska > Chapter44 > 44-5307

44-5307. Policy or contract;benefits required; coverageauthorized; prohibitions.(1) An uninsured access coverage policy or contract may include hospital-only and surgical-onlybenefits which shall mean:(a) Inhospital benefits for not less than thirty continuousdays nor more than ninety continuous days for each spell of illness; and(b) Surgical benefits for both inpatient and outpatient surgery.(2) An uninsuredaccess coverage policy or contract may include prescription drug benefit coverage.(3) An uninsuredaccess coverage policy or contract may include preventative health care coverage,including, but not limited to, primary care physician visits, immunizationsfor adults and children, laboratory and X-ray procedures, and preventativecancer screenings such as mammograms, cervical cancer screenings, and noninvasivecolorectal or prostate screenings.(4) An uninsured access coverage policy or contractmay not:(a) Use a definition of spell of illness more restrictivethan the definition found in section 44-5303; or(b) Use a definition of preexisting condition more restrictivethan the definition normally used by the insurer for its regular individualhealth insurance contracts.(5) Every uninsured accesscoverage policy or contract shall provide that the benefit payment shall beaccepted as payment in full by the provider and there shall be no deductibleor coinsurance charged to the insured. SourceLaws 1991, LB 419, § 35; Laws 2009, LB445, § 5.

State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-5307

44-5307. Policy or contract;benefits required; coverageauthorized; prohibitions.(1) An uninsured access coverage policy or contract may include hospital-only and surgical-onlybenefits which shall mean:(a) Inhospital benefits for not less than thirty continuousdays nor more than ninety continuous days for each spell of illness; and(b) Surgical benefits for both inpatient and outpatient surgery.(2) An uninsuredaccess coverage policy or contract may include prescription drug benefit coverage.(3) An uninsuredaccess coverage policy or contract may include preventative health care coverage,including, but not limited to, primary care physician visits, immunizationsfor adults and children, laboratory and X-ray procedures, and preventativecancer screenings such as mammograms, cervical cancer screenings, and noninvasivecolorectal or prostate screenings.(4) An uninsured access coverage policy or contractmay not:(a) Use a definition of spell of illness more restrictivethan the definition found in section 44-5303; or(b) Use a definition of preexisting condition more restrictivethan the definition normally used by the insurer for its regular individualhealth insurance contracts.(5) Every uninsured accesscoverage policy or contract shall provide that the benefit payment shall beaccepted as payment in full by the provider and there shall be no deductibleor coinsurance charged to the insured. SourceLaws 1991, LB 419, § 35; Laws 2009, LB445, § 5.

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State Codes and Statutes

Statutes > Nebraska > Chapter44 > 44-5307

44-5307. Policy or contract;benefits required; coverageauthorized; prohibitions.(1) An uninsured access coverage policy or contract may include hospital-only and surgical-onlybenefits which shall mean:(a) Inhospital benefits for not less than thirty continuousdays nor more than ninety continuous days for each spell of illness; and(b) Surgical benefits for both inpatient and outpatient surgery.(2) An uninsuredaccess coverage policy or contract may include prescription drug benefit coverage.(3) An uninsuredaccess coverage policy or contract may include preventative health care coverage,including, but not limited to, primary care physician visits, immunizationsfor adults and children, laboratory and X-ray procedures, and preventativecancer screenings such as mammograms, cervical cancer screenings, and noninvasivecolorectal or prostate screenings.(4) An uninsured access coverage policy or contractmay not:(a) Use a definition of spell of illness more restrictivethan the definition found in section 44-5303; or(b) Use a definition of preexisting condition more restrictivethan the definition normally used by the insurer for its regular individualhealth insurance contracts.(5) Every uninsured accesscoverage policy or contract shall provide that the benefit payment shall beaccepted as payment in full by the provider and there shall be no deductibleor coinsurance charged to the insured. SourceLaws 1991, LB 419, § 35; Laws 2009, LB445, § 5.