093_HB3951

 
                                     LRB093 11981 LRD 16526 b

 1        AN ACT in relation to insurance.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.   The  Illinois  Insurance Code is amended by
 5    changing Section 370o as follows:

 6        (215 ILCS 5/370o) (from Ch. 73, par. 982o)
 7        Sec.  370o.   Emergency  care.   Any  preferred  provider
 8    contract,  subject  to  this  Article   shall   provide   the
 9    beneficiary  or  insured  emergency  care  coverage such that
10    payment for this coverage is not dependent upon whether  such
11    services   are  performed  by  a  preferred  or  nonpreferred
12    provider and such coverage shall be at  a  the  same  benefit
13    level  no  less  than the benefit level would have been as if
14    the  service  or  treatment  had  been  rendered  by  a  plan
15    provider.  In  any  event,  the  out-of  pocket  cost  to   a
16    beneficiary  or  insured  who  receives emergency care from a
17    nonpreferred provider shall be no greater than if he  or  she
18    had received the emergency care from a preferred provider.
19    (Source: P.A. 85-476.)