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The Florida Senate

2006 Florida Statutes

Health insurance out-of-hospital benefits.
Section 627.4232, Florida Statutes 2006

627.4232  Health insurance out-of-hospital benefits.--No health insurance policy which provides coverage on a medical, hospital, or surgical expense-incurred basis shall be delivered or issued for delivery in this state unless coverage is provided for treatment performed outside a hospital for any accident or illness as defined in the policy, provided that such treatment would be covered on an inpatient basis and is provided by a health care provider whose services would be covered under the policy if the treatment were performed in a hospital and provided that treatment of the accident or illness is medically necessary and is provided as an alternative to inpatient treatment in a hospital. Reimbursement may be limited to amounts that are reasonable for the treatment or services provided and may be limited by any deductible and coinsurance provisions of the policy.

History.--ss. 6, 10, ch. 84-235; s. 114, ch. 92-318.