20:06:13:68Network restrictions.
Section · Administrative Rules of South Dakota · View on sdlegislature.gov ↗
Rulemaking activity
- Division of Insurance - Chapter 20:06:13 Appendix DEffective
- Chapter 20:06:13 Appendix DEffective
- ARSD Chapter 20:06:13 Appendix DEffective
- Updating Chapter 20:06:13 Appendix DEffective
- 20:06:12, 20:06:13, 20:06:19, 20:06:25, 20:06:26, 20:06:36, 20:06:59, and 20:06:60Effective
- Updates to the Division of Insurance administrative rules.Effective
- Updates to Division of Insurance administrative rules.Effective
- Division of Insurance Administrative RulesEffective
- Changes and updates to Insurance Administrative RulesEffective
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.