Arizona Laws 20-3112. Applicability
This article does not apply to:
Terms Used In Arizona Laws 20-3112
- Enrollee: means an individual who is eligible to receive benefits through a health plan. See Arizona Laws 20-3111
- Health care services: means treatment, services, medications, tests, equipment, devices, durable medical equipment, laboratory services or supplies rendered or provided to an enrollee for the purpose of diagnosing, preventing, alleviating, curing or healing human disease, illness or injury. See Arizona Laws 20-3111
- Health plan: means a group or individual health plan that finances or furnishes health care services and that is issued by a health insurer. See Arizona Laws 20-3111
- United States: includes the District of Columbia and the territories. See Arizona Laws 1-215
1. Health care services that are not covered by the enrollee‘s health plan.
2. Limited benefit coverage as defined in section 20-1137.
3. Charges for health care services that are subject to a direct payment agreement under section 32-3216 or 36-437.
4. Health plans that do not include coverage for out-of-network health care services, unless otherwise required by law.
5. State health and accident coverage for full-time officers and employees of this state and their dependents that is provided pursuant to Title 38, Chapter 4, Article 4.
6. A self-funded or self-insured employee benefit plan if the regulation of that plan is preempted by the employee retirement income security act of 1974 (P.L. 93-406; 88 Stat. 829; 29 United States Code § 1144(b)).