Title 33, Chapter 20, Section 18
( 33-20-18)
(a) Health care corporations shall have the right to sell contracts
providing for the payment of specified charges made by participating
physicians furnishing medical or surgical care, or both, to the
holders of such contracts, their beneficiaries, and covered
dependents as provided for in this Code section. (b) The contracts shall not in any manner restrict the right of the
holder to obtain the services of any physician nor shall such
contracts attempt to control the relationship existing between any
holder or beneficiary of any such contract and his physician. (c) The private physician-patient relationship shall be maintained,
and a subscriber shall at all times have free choice of any
physician or of any health care provider or facility within a class
approved by the corporation in accordance with this chapter;
provided, however, that nothing contained in this Code section shall
be deemed to prohibit the use of either a group of participating
physicians or approved health care providers and representatives of
approved facilities which have been approved by the medical
societies in the county or counties in which corporations operate to
review charges made by physicians or other providers of health care
services participating in the plan so as to ensure that the charges
do not exceed the usual, customary, and reasonable charges made by
other physicians or other providers of health care services for
similar services and that such services are necessary and do not
involve unnecessary utilization of services or facilities. (d) No provision of this chapter shall be construed as authorizing
the corporate practice of medicine; and health care corporations
shall not practice medicine. No physician rendering service or
called on to render service to a member, beneficiary, or covered
dependent and no other provider of health care services shall be
construed to be an agent or employee of such corporation; and such
corporation shall not be liable for the negligence, misfeasance,
malfeasance, or nonfeasance of any provider of health care services
or of any physician rendering medical or surgical services to any
member, beneficiary, or covered dependent. |