Section 113 (division BB) requires employer sponsored health plans and payers to continue providing in-network care for individuals who are undergoing treatment for a serious and complex conditions, pregnancy, inpatient care, non-elective surgery, or terminal illness even when an in-network provider or facility leaves the network, for 90 days or until the treatment concludes, whichever is sooner.
Market impact of this provision effects Individual Family Plan (IFP), Small Business Markets (SBM), Core, Premier, Administrative Services Only (ASO) and Shared Advantage (SA) lines of business.
© Blue Shield of California 1999-2021. All rights reserved. Blue Shield of California is an independent member of the Blue Shield Association.
Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.