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A bill to be entitled |
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An act relating to direct payment for hospital or medical |
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services; amending s. 627.638, F.S.; providing for direct |
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payment of certain claims by an insurer to a provider |
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notwithstanding certain contract provisions; providing an |
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effective date. |
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Be It Enacted by the Legislature of the State of Florida: |
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Section 1. Subsection (2) of section 627.638, Florida |
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Statutes, is amended to read: |
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627.638 Direct payment for hospital, medical services.-- |
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(2) Whenever, in any health insurance claim form, an |
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insured specifically authorizes payment of benefits directly to |
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any recognized hospital or physician, the insurer shall make |
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such payment to the designated provider of such services, unless |
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otherwise provided in the insurance contract. However, if:
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(a) The benefit is determined to be covered |
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under the terms of the policy; |
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(b) The claim is limited to treatment of mental |
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health or substance abuse, including drug or alcohol abuse; |
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and |
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(c) The insured authorizes the insurer, in writing, as |
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part of the claim to make direct payment of benefits to a |
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recognized hospital, physician, or other licensed provider,
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payments shall be made directly to the recognized hospital, |
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physician, or other licensed provider notwithstanding any |
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contrary provisions in the insurance contract. |
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Section 2. This act shall take effect upon becoming a law. |