33-22-245. Uniform health benefit plan -- individual. - Montana Statutes

     33-22-245. Uniform health benefit plan -- individual. (1) Each insurer or health service corporation delivering or issuing for delivery in this state a health benefit plan, as defined in 33-22-243, to an individual shall make available a uniform health benefit plan providing the benefits and services required in subsection (2).
     (2) The uniform health benefit plan must:
     (a) provide coverage for the services and articles required by 33-22-1521(2);
     (b) pay 50% of the covered expenses in excess of an annual deductible that may not exceed $1,000 per person or $2,000 per family;
     (c) include a limitation of $5,000 per person or $7,500 per family on the total annual out-of-pocket expenses for services covered; and
     (d) be subject to a maximum lifetime benefit of $1 million.
     (3) Except as provided in this section, a health insurance issuer may exclude any category of licensed health care practitioner and any benefit or coverage for health care services otherwise required by law or rule from an individual uniform health benefit plan delivered or issued for delivery in this state.

     History: En. Sec. 8, Ch. 527, L. 1995; amd. Sec. 1, Ch. 504, L. 1997.