(1) An insurer shall not, under its health benefit plan prohibit a primary care physician from authorizing a covered person’s referral to a participating obstetrician or gynecologist. A primary care physician treating a covered person who is pregnant or has a chronic gynecological condition may authorize a referral to a participating obstetrician or gynecologist, up to twelve (12) months or for the contract period, whichever is shorter. Under this referral arrangement the covered person shall have direct access to the obstetrician or gynecologist, without the need of further contact or referral by the primary care physician.
(2) A female covered person shall be covered for an annual pap smear performed by an obstetrician or gynecologist without a referral from a primary care provider.
Effective: July 14, 2000
History: Created 2000 Ky. Acts ch. 262, sec. 23, effective July 14, 2000.