19 Miss. Code. R. 3-12.06

Current through December 10, 2024

Rule 19-3-12.06 - Exceptions

A. Nothing in this Regulation shall be construed to require a mother who is an insured or enrollee:

1. To give birth in a hospital; or

2. To stay in the hospital for a fixed period of time following the birth of her child.

B. This Regulation shall not apply with respect to any group or individual health insurance coverage offered by a health insurance issuer which does not provide benefits for hospital lengths of stay in connection with childbirth for a mother or her newborn child.

C. Nothing in this Regulation shall be construed as preventing a health insurance issuer form imposing deductibles, coinsurance or other cost-sharing in relation to benefits for hospital lengths of stay in connection with childbirth for a mother or newborn child under group or individual health insurance coverage, except that such coinsurance or other cost-sharing for any portion of a period within a hospital length of stay required under subsections (1) and (2) of Section 4. of this Regulation may not be greater than such coinsurance or cost-sharing for any preceding portion of such stay.

D. Nothing in this Regulation shall be construed to prevent a health insurance issuer

E. offering group or individual health insurance coverage from negotiating the

F. level and type of reimbursement with a provider for care provided in accordance

G. with this Regulation.

19 Miss. Code. R. 3-12.06

Miss. Code Ann. § 83-1-43 (Rev. 2011)