Skip to main content
CourtGPT logoCourtGPT
Directory
Law
For Attorneys
Blog
AppointmentsSign InSign Up
Section 15-819 - Coverage for Outpatient Services and Second Opinions — Maryland Law | CourtGPT
  1. Home/
  2. Laws/
  3. Maryland/
  4. Title 1 - Definitions; General Provisions/
  5. Title 15 - Health Insurance/
  6. Subtitle 8 - Required Health Insurance Benefits/
  7. Section 15-819 - Coverage for Outpatient Services and Second Opinions
Maryland Legal Code

Section 15-819 - Coverage for Outpatient Services and Second Opinions

Ask AI about this
(a) This section applies to: (1) each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and (2) each contract or certificate that is issued or delivered in the State by a nonprofit health service plan. (b) A policy, contract, or certificate subject to this section that provides coverage for an inpatient service in an acute general hospital shall provide coverage for: (1) a corresponding outpatient service that is provided to the insured instead of the inpatient service because of the denial, after review under a utilization review program, of a request by the attending physician for an inpatient admission; and (2) an objective second opinion given to the insured when required by a utilization review program under § 19-319 of the Health - General Article.