(a) Coverage for services required by this part shall include reimbursement to health care providers who perform services required by this part, or to the insured member, as appropriate.
lawyer at desk

Ask an insurance law question, get an answer ASAP!
Click here to chat with a lawyer about your rights.

Terms Used In Hawaii Revised Statutes 431:10A-144

  • Contract: A legal written agreement that becomes binding when signed.
(b) Whenever an individual or group policy, contract, plan, or agreement provides for reimbursement for any service, a health care provider who performs a service shall be eligible for reimbursement for the performed service to the extent the health care provider is eligible for such reimbursement under the policy, contract, plan, or agreement, and is acting within the scope of the provider’s license or certification under state law.
(c) For purposes of this section, “health care provider” means a provider of services, as defined in title 42 United States Code § 1395x(u); a provider of medical and other health services, as defined in title 42 United States Code § 1395x(s); and a practitioner licensed by the State and working within the practitioner’s scope of practice.

  Previous
Next  
 Part I Contents