Section 21.87.120. Services and benefits that may be provided by medical service corporations.

   (a) A medical service corporation shall have the right to provide to its subscribers part or all of the following services and benefits only:
        (1) medical and surgical services furnished to the subscriber by participant providers;
        (2) indemnity in reasonable amount with respect to medical and surgical services furnished to the subscriber by nonparticipant providers, but subject to AS 21.87.070(4);
        (3) indemnity in reasonable amount with respect to hospital services furnished the subscriber while under the care and treatment of a participant provider or under the care and treatment of another provider upon referral by a participant provider;
        (4) indemnity in reasonable amount with respect to appliances, prosthetics, and similar devices and replacements, and ambulance, x-ray, physiotherapy, and similar services.
   (b) This section does not prohibit the corporation from acting as compensated servicing agent as to health care services to be provided by a public agency, or under agreements between other parties not solicited by the corporation.

Authorities

21.79.900;21.87.160

Notes

Implemented As

3 AAC 28.410

References

AS 21.79.900 Definitions.
AS 21.87.160 Subscriber's contracts.

History

(Sec. 1 ch 120 SLA 1966; am Sec. 5 - 7 ch 40 SLA 1981)