TITLE 27
Insurance

CHAPTER 27-39
Second Medical Opinion

SECTION 27-39-4


§ 27-39-4 Exclusions.

(a) The second surgical opinion benefit provisions of a policy may exclude: (1) benefits while the patient is confined in a hospital as an inpatient, (2) any surgical procedures not covered by the policy, and (3) surgical procedures in the following categories: cosmetic surgery, pregnancy related surgery, dental surgery, podiatric surgery, and sterilization.

(b) If an eligible physician who furnishes a second or third surgical opinion also performs the surgical procedure, the policy need not provide payment for the second and third opinion services of that physician.

History of Section.
(P.L. 1983, ch. 143, § 1.)