The following provisions of Chapter 58 of the General Statutes apply to the State Health Plan:

(1)        G.S. 58-3-191, Managed care reporting and disclosure requirements.

(2)        G.S. 58-3-221, Access to nonformulary and restricted access prescription drugs.

(3)        G.S. 58-3-223, Managed care access to specialist care.

(4)        G.S. 58-3-225, Prompt claim payments under health benefit plans.

(5)        G.S. 58-3-235, Selection of specialist as primary care provider.

(6)        G.S. 58-3-240, Direct access to pediatrician for minors.

(7)        G.S. 58-3-245, Provider directories.

(8)        G.S. 58-3-250, Payment obligations for covered services.

(9)        G.S. 58-3-265, Prohibition on managed care provider incentives.

(10)      G.S. 58-3-280, Coverage for the diagnosis and treatment of lymphedema.

(11)      G.S. 58-3-285, Coverage for hearing aids.

(12)      G.S. 58-50-30, Right to choose services of certain providers.

(13)      G.S. 58-67-88, Continuity of care. ?(2011-85, s. 2.10; 2012-129, s. 2; 2013-296, s. 3; 2013-324, s. 5.)

Terms Used In North Carolina General Statutes 135-48.51

  • following: when used by way of reference to any section of a statute, shall be construed to mean the section next preceding or next following that in which such reference is made; unless when some other section is expressly designated in such reference. See North Carolina General Statutes 15A-941
  • Plan: includes all comprehensive health benefit plans offered under the Plan. See North Carolina General Statutes 135-48.1
  • state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall be construed to include the said district and territories and all dependencies. See North Carolina General Statutes 15A-941