Michigan Laws 500.3183 – Automobile insurer; offering of managed care option; requirements
Current as of: 2023 | Check for updates
|
Other versions
Terms Used In Michigan Laws 500.3183
- Insurer: means an individual, corporation, association, partnership, reciprocal exchange, inter-insurer, Lloyds organization, fraternal benefit society, or other legal entity, engaged or attempting to engage in the business of making insurance or surety contracts. See Michigan Laws 500.106
- managed care option: means an optional coverage selected by an insured at the time a policy is issued that includes, but is not limited to, the monitoring and adjudication of an injured person's care, the use of a preferred provider program or other network, or other similar option. See Michigan Laws 500.3181
- person: may extend and be applied to bodies politic and corporate, as well as to individuals. See Michigan Laws 8.3l
An automobile insurer may offer a managed care option that provides for allowable expenses consisting of all reasonable charges incurred for reasonably necessary products, services, and accommodations for an injured person‘s care, recovery, or rehabilitation. This managed care option is subject to all of the following:
(a) It must be uniformly offered in all areas where the managed care option is available.
(b) It must provide a discount that reflects reasonably anticipated reductions in losses or expenses or both.
(c) It must not apply to emergency care. Emergency care includes, but is not limited to, all care necessary to the point where no material deterioration of a condition is likely, within reasonable medical probability, to result from or occur during transfer of the patient.