20:06:13:68Network restrictions.
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Rulemaking activity
- Medicare supplement coverage amounts updateEffective
- Medicare supplement coverage amounts updateEffective
- Medicare Supplement coverage amount updatesEffective
- Medicare supplement coverage amounts updateEffective
- Medicare Supplement coverage and insurance governance updatesEffective
- Insurance rules updates and Medicare coverage amountsEffective
- Insurance rules update for Medicare coverageEffective
- Insurance division administrative updatesEffective
- Insurance administrative rules updatesEffective
A Medicare select policy or certificate may not restrict payment for covered services provided by providers outside the network if: (1) The services are for symptoms requiring emergency care or are immediately required for an unforeseen illness, injury, or a condition; and (2) It is not appropriate given specific circumstances, such as time or distance, to obtain such services through a network provider.
Source: 22 SDR 107, effective February 18, 1996; 23 SDR 236, effective July 13, 1997.