Arizona Laws 20-1057.09. Health care services organizations; varying copayments and deductibles allowed
A. Except as provided in sections 20-1379 and 20-2304, a health care services organization may offer one or more health care plans that contain a choice of deductibles, coinsurance, copayments, out-of-pocket and any other cost sharing levels. Plans offered under this section shall clearly disclose in marketing materials, certificates of coverage and contracts the insured’s financial responsibilities. A health care services organization that offers such a health care plan shall continue to provide any mandated health coverage that is required by this state or by federal law.
Terms Used In Arizona Laws 20-1057.09
- Health care plan: means any contractual arrangement whereby any health care services organization undertakes to provide directly or to arrange for all or a portion of contractually covered health care services and to pay or make reimbursement for any remaining portion of the health care services on a prepaid basis through insurance or otherwise. See Arizona Laws 20-1051
- Health care services: means services for the purpose of diagnosing, preventing, alleviating, curing or healing human illness or injury. See Arizona Laws 20-1051
- Health care services organization: means any person that undertakes to conduct one or more health care plans. See Arizona Laws 20-1051
- United States: includes the District of Columbia and the territories. See Arizona Laws 1-215
B. This section does not prohibit a health benefits plan that is intended to qualify as a high deductible health plan as defined by 26 United States Code § 223(c)(2) from requiring the application of deductibles, copayments or coinsurance to benefits provided under the health benefits plan.