Title 33, Chapter 29, Section 6
( 33-29-6)
(a) The benefits on account of medical or surgical services provided
by an individual policy of accident and sickness insurance may be
limited by its terms to services performed by specifically defined
professions, provided that in the absence of such definitions the
term "physician" or "surgeon," as used in such policy, shall not be
deemed limited solely to medical practitioners licensed under
Chapter 34 of Title 43. (b) When an individual policy of accident and sickness insurance,
except policies providing special coverage for limited diseases,
accident protection only, or dental policies, provides for hospital
care, there may be included within the scope of coverage hospital
care rendered on account of mental illnesses and hospital care
rendered by any psychiatric hospital duly licensed by this state. If
such coverage is not included in the policy, a statement that the
policy does not cover mental illnesses shall be printed in the
policy in boldface type or stamped on the face of the policy and
printed or stamped on any identification card issued pursuant to any
such policy. (c) Any other laws to the contrary notwithstanding, whenever the
term "physician" or "surgeon" is used in any policy of health or
accident insurance issued in this state or in any contract for
health care, services, or benefits issued by any health, medical, or
other service corporation existing under, and by virtue of, any laws
of this state, said term shall include, within its meaning, medical
practitioners licensed under and in accordance with Chapter 11 of
Title 43, relating to dentists, in respect to any care, services,
procedures, or benefits covered by said policy of insurance or
health care contract which the said persons are licensed to perform,
any provisions in any such policy of insurance or health care
contract to the contrary notwithstanding. This subsection shall be
applicable to all policies in this state, regardless of date of
issue. |