Illinois Code § 215 ILCS 5/370i

Policies, agreements or arrangements with incentives or limits on reimbursement authorized.
Open in Lexace · Ask the AI about this section
Sec. 370i. 
Policies, agreements or arrangements with incentives or limits on reimbursement authorized.
 
 
(a) Policies, agreements or arrangements issued under this Article may not contain terms or conditions that would operate unreasonably to restrict the access and availability of health care services for the insured.
 
(b) An insurer or administrator may:
 
 
 
(1) enter into agreements with certain providers of 
 
its choice relating to health care services which may be rendered to insureds or beneficiaries of the insurer or administrator, including agreements relating to the amounts to be charged the insureds or beneficiaries for services rendered;
 
 
 
(2) issue or administer programs, policies or 
 
subscriber contracts in this State that include incentives for the insured or beneficiary to utilize the services of a provider which has entered into an agreement with the insurer or administrator pursuant to paragraph (1) above.
 
(c) (Blank).

its choice relating to health care services which may be rendered to insureds or beneficiaries of the insurer or administrator, including agreements relating to the amounts to be charged the insureds or beneficiaries for services rendered;
subscriber contracts in this State that include incentives for the insured or beneficiary to utilize the services of a provider which has entered into an agreement with the insurer or administrator pursuant to paragraph (1) above.

‹ Prev All Illinois sections Next ›


Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.