33-22-1827. Benefits required in basic health benefit plan. - Montana Statutes

     33-22-1827. Benefits required in basic health benefit plan. (1) The basic health benefit plan must provide at least the following benefits:
     (a) coverage for the services and articles required by 33-22-1521(2);
     (b) coverage for mental health and chemical dependency required by Title 33, chapter 22, part 7;
     (c) coverage for conversion of benefits required by 33-22-508 and 33-22-510 or by 33-30-1007; and
     (d) coverage for mammography examinations required by 33-22-132.
     (2) The small employer carrier may determine varying levels of deductibles, copayments, maximum annual out-of-pocket expenses, maximum lifetime benefits, and other financial cost-sharing arrangements with the insured that give the basic health benefit plan a lower benefit value than the standard health benefit plan.
     (3) A basic health benefit plan provided by a health maintenance organization or a basic health benefit plan with a restricted network provision must provide a comparable level of benefits to those required by subsections (1) and (2), as determined by the benefit value.

     History: En. Sec. 5, Ch. 377, L. 1995; amd. Sec. 5, Ch. 410, L. 1997; amd. Sec. 26, Ch. 416, L. 1997.