Title 33, Chapter 30, Section 7
( 33-30-7)
(a) The benefits on account of medical or surgical services provided
by a group or blanket 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 a
policy, shall not be deemed limited solely to medical practitioners
licensed under Chapter 34 of Title 43. (b) When a group or blanket 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 the 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 the
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 the
provision of 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. |