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Georgia Statutes, Title 33

Georgia/Statutes

← All Georgia coverage

Title 33

73 chapters · 1,492 sections in this title.

All chapters in Title 331,492 Ch 24, INSURANCE GENERALLY134 Ch 14, DOMESTIC STOCK AND MUTUAL INSURERS78 Ch 11, INVESTMENTS72 Ch 23, LICENSING62 Ch 37, INSURERS REHABILITATION AND LIQUIDATION59 Ch 9, REGULATION OF RATES, UNDERWRITING RU…49 Ch 15, FRATERNAL BENEFIT SOCIETIES38 Ch 5, REGULATION OF UNAUTHORIZED INSURERS37 Ch 41, CAPTIVE INSURANCE COMPANIES34 Ch 20, HEALTH CARE PLANS33 Ch 3, AUTHORIZATION AND GENERAL REQUIREMEN…32 Ch 2, DEPARTMENT AND COMMISSIONER31 Ch 17, RECIPROCAL INSURERS31 Ch 21, HEALTH MAINTENANCE ORGANIZATIONS31

1,492 sections·Filtered byTitle 33✕

O.C.G.A. § 33-24-54 Payments to nonparticipating or nonpreferred providers of health care services
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(a) Notwithstanding any provisions of Code Sections 33-1-3, 33-1-5, and 33-24-17 and Chapter 20 of this title or any other provisions of this title which might be construed to the contrary, whenever an accident and sickness insurance policy, subscriber contract, or self-insured h…
O.C.G.A. § 33-24-55 Health insurance; recovery rights of state for payments made under Medicaid; rights of children to coverage; requirements for insurers under orders to provide coverage
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(a) Any health insurer under this title, including a group health plan, as deﬁned in Section 607(1) of the federal Employee Retirement Income Security Act of 1974, is prohibited from considering the availability or eligibility for medical assistance in this or any other state und…
O.C.G.A. § 33-24-56 Prohibition against requiring referral from primary care physician to dermatologist
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(a) It is the intent of the General Assembly to encourage health care cost containment while preserving the quality of care offered to citizens of this state. The General Assembly ﬁnds that there is an increasing number of health insurance beneﬁt providers which require a referra…
Surveillance tests for ovarian cancer

Showing 851–900 of 1,492

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O.C.G.A. § 33-24-56.2

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(a) As used in this Code section, the term: (1) ‘‘At risk for ovarian cancer’’ means: (A) Having a family history: (i) With one or more ﬁrst or second-degree relatives with ovarian cancer; (ii) Of clusters of women relatives with breast cancer; (iii) Of nonpolyposis colorectal ca…

O.C.G.A. § 33-24-56.3 Colorectal cancer screening and testing

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(a) As used in this Code section, the term: (1) ‘‘Health beneﬁt policy’’ means any individual or group plan, policy, or contract for health care services issued, delivered, issued for delivery, executed, or renewed by an insurer in this state, including, but not limited to, those…

O.C.G.A. § 33-24-56.4 Short title; deﬁnitions; payment for telehealth services

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(a) This Code section shall be known and may be cited as the ‘‘Georgia Telehealth Act.’’ (b) As used in this Code section, the term: (1) ‘‘Distant site’’ means a site at which a health care provider legally allowed to practice in this state is located while providing health care …

O.C.G.A. § 33-24-56.5 Health beneﬁt policy to provide coverage for orally administered chemotherapy for the treatment of cancer; deﬁnitions

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(a) As used in this Code section, the term: (1) ‘‘Cost sharing requirements’’ includes co-payments, coinsurance, deductibles, and any other amounts paid by the covered person for a prescription dispensed by a licensed retail pharmacy. (2) ‘‘Health beneﬁt policy’’ means any indivi…

O.C.G.A. § 33-24-57 Health insurance; provision that coverage cannot be terminated due to individual claims experience required

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(a) As used in this Code section, the term: (1) ‘‘Insurer’’ means an accident and sickness insurer, fraternal beneﬁt society, health care corporation, health maintenance organization, or any similar entity and any self-insured health care plan not subject to the exclusive jurisdi…

O.C.G.A. § 33-24-57.1 Health insurance identiﬁcation card; issue required; contents; updating; social security numbers not to be displayed

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(a) As used in this Code section, the term: (1) ‘‘Dental insurer’’ means any person, ﬁrm, corporation, joint venture, or other similar business entity that offers dental health beneﬁt plans in consideration of periodic payments. (2) ‘‘Fully insured’’ means any health policy in wh…

O.C.G.A. § 33-24-58 Newborn Baby and Mother Protection Act; short title

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This Code section and Code Sections 33-24-58.1 and 33-24-58.2 shall be known and may be cited as the ‘‘Newborn Baby and Mother Protection Act.’’ History. — Code 1981, § 33-24-58, enacted by Ga. L. 1996, p. 409, § 1.

O.C.G.A. § 33-24-58.1 Newborn Baby and Mother Protection Act; legislative ﬁndings and declaration

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The General Assembly ﬁnds and declares that: (1) Whereas, until recently health care insurers covered costs of hospital stays of a mother and a newborn until they were discharged by a physician after a consultation with the mother. Now many insurers are refusing payment for a hos…

O.C.G.A. § 33-24-58.2 Newborn Baby and Mother Protection Act; minimum health beneﬁt policy coverage; prohibited actions by insurance providers; required notice to mother

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(a) As used in this Code section, the term: (1) ‘‘Attending provider’’ means: (A) Pediatricians and other physicians attending the newborn; and (B) Obstetricians, other physicians, and certiﬁed nurse midwives attending the mother. (2) ‘‘Health beneﬁt policy’’ means any individual…

O.C.G.A. § 33-24-59 Women’s access to health care; health insurance; provision disclosing insured’s right to direct access to obstetricians and gynecologists required

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(a) The General Assembly ﬁnds and declares that the specialty of obstetrics and gynecology is devoted to health care of women throughout their lifetimes. (b)(1) As used in this Code section, the term ‘‘health beneﬁt policy’’ means any individual or group plan, policy, or contract…

O.C.G.A. § 33-24-59.1 Coverage for treatment of dependent children with cancer

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(a) As used in this Code section, the term: (1) ‘‘Accident and sickness insurance beneﬁt plan, policy, or contract’’ means: (A) An individual accident and sickness insurance policy or contract, as deﬁned in Chapter 29 of this title; (B) A group or blanket accident and sickness in…

O.C.G.A. § 33-24-59.10 Coverage for autism

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(a) As used in this Code section, the term: (1) ‘‘Accident and sickness contract, policy, or beneﬁt plan’’ shall have the same meaning as found in Code Section 33-24-59.1. Accident and sickness contract, policy, or beneﬁt plan shall also include without limitation any health bene…

O.C.G.A. § 33-24-59.11 Insurance coverage for prescription drugs used in manner different than use authorized by FDA

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(a) As used in this Code section, the term: (1) ‘‘Chronic and seriously debilitating’’ means diseases or conditions that cause signiﬁcant long-term morbidity and that require ongoing treatment to maintain remission or prevent deterioration. (2) ‘‘Health beneﬁt policy’’ means any …

O.C.G.A. § 33-24-59.12 Patient access to eye care

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(a) This Code section shall be known and may be cited as the ‘‘Patient Access to Eye Care Act.’’ (b) As used in this Code section, the term: (1) ‘‘Covered person’’ means an individual enrolled in a health beneﬁt plan or an eligible dependent thereof. (2) ‘‘Covered services’’ mean…

O.C.G.A. § 33-24-59.13 Exemptions from certain unfair trade practices for certain wellness and health improvement programs; incentives

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(a) An insurer issuing life, comprehensive, major medical group, or individual health insurance beneﬁt plans may, in keeping with federal requirements, offer wellness or health improvement programs, including voluntary wellness or health improvement programs that provide for rewa…

O.C.G.A. § 33-24-59.14 Deﬁnitions; prompt pay requirements; penalties

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(a) As used in this Code section, the term: (1) ‘‘Administrator’’ shall have the same meaning as provided in Code Section 33-23-100. (2) ‘‘Beneﬁts’’ shall have the same meaning as provided in Code Section 33-24-59.5. (3) ‘‘Facility’’ shall have the same meaning as provided in Cod…

O.C.G.A. § 33-24-59.15 Deﬁnitions; dental insurance

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(a) As used in this Code section: (1) ‘‘Covered dental services’’ means dental care services for which a reimbursement is available under a covered person’s dental beneﬁt plan, or for which a reimbursement would be available but for the application of contractual limitations such…

O.C.G.A. § 33-24-59.16 Equal access to child’s health insurance information; exceptions

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(a) As used in this Code section, the term: (1) ‘‘Health beneﬁt policy’’ means any individual or group plan, policy, or contract for health care services issued, delivered, issued for delivery, executed, or renewed in this state, including, but not limited to, those contracts exe…

O.C.G.A. § 33-24-59.17 Coverage of certain abortions through certain qualiﬁed health plans prohibited; deﬁnitions

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(a) No abortion coverage shall be provided by a qualiﬁed health plan offered within the State of Georgia through a state law, a federal law, or regulation or exchange created by the federal Patient Protection and Affordable Care Act (Public Law 111-148), as amended by the federal…

O.C.G.A. § 33-24-59.18 Coverage for treatment of a terminal condition

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(a) As used in this Code section, the term: (1) ‘‘Health beneﬁt plan’’ means any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare beneﬁt plan, contract or agreement with a health maintenance organization, subscriber con…

O.C.G.A. § 33-24-59.19 Coverage for treatment of burns with skin substitutes utilizing cryopreserved cadaver derived skin tissue

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No health beneﬁt policy issued, delivered, or renewed in this state that, as a provision of hospital, medical, or surgical services, directly or indirectly covers the treatment and management of burns shall limit or exclude coverage for such treatment on the basis that the use of…

O.C.G.A. § 33-24-59.2 Coverage for equipment and self-management training for individuals with diabetes; enforcement

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(a) Every individual major medical and group health insurance policy, group health insurance plan or policy, and any other form of managed or capitated care plans or policies shall provide coverage for medically necessary equipment, supplies, pharmacologic agents, and outpatient …

O.C.G.A. § 33-24-59.20 Access to stage four advanced, metastatic cancer treatments in health beneﬁt plans

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(a) As used in this Code section, the term: (1) ‘‘Health beneﬁt plan’’ means any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare beneﬁt plan, contract or agreement with a health maintenance organization, subscriber con…

O.C.G.A. § 33-24-59.21 Health plans to provide coverage for hearing aids for certain individuals; frequency of replacement; coverage of services and supplies; options for higher priced devices

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(a) This Code section shall be known and may be cited as the ‘‘Hearing Aid Coverage for Children Act.’’ (b) The General Assembly ﬁnds and declares that: (1) The language development of children with partial or total hearing loss may be impaired due to the hearing loss. Children l…

O.C.G.A. § 33-24-59.22 Prescription drug program deﬁned; cost sharing; denial of coverage; dispensing fees

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(a) As used in this Code section, the term ‘‘prescription drug program’’ means any individual or group plan, policy, or contract for prescription drug services issued, delivered, issued for delivery, executed, or renewed by an insurer in this state on or after July 1, 2017. (b) A…

O.C.G.A. § 33-24-59.23 Carrier issuing health beneﬁt plans to pay insurance agent’s commissions; regulation

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(a) As used in this Code section, the term: (1) ‘‘Agent’’ shall have the same meaning as in Code Section 33-23-1. (2) ‘‘Carrier’’ means any entity licensed to provide health insurance in this state and which is subject to state insurance regulation. (3) ‘‘Health beneﬁt plan’’ mea…

O.C.G.A. § 33-24-59.24 Restrictions on payment methods prohibited; waiver of provisions prohibited; enforcement

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(a) As used in this chapter, the term: (1) ‘‘Care management organization’’ means an entity that is organized for the purpose of providing or arranging health care, which has been granted a certiﬁcate of authority by the Commissioner as a health maintenance organization pursuant …

O.C.G.A. § 33-24-59.25 Establishment by health beneﬁt plans of step therapy protocols; exception process; time requirements; appeals; construction; application

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(a) As used in this Code section, the term: (1) ‘‘Health beneﬁt plan’’ means any hospital, health, or medical expense insurance policy; hospital or medical service contract; employee welfare beneﬁt plan; contract or agreement with a health maintenance organization; subscriber con…

O.C.G.A. § 33-24-59.26 Limitation on deﬁnition of ‘‘preexisting condition’’

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(a) As used in this Code section, the term: (1) ‘‘Preventive services’’ means screening tests, counseling, and preventive medicines, or treatments provided or conducted to prevent medical illness or condition prior to symptoms or physical manifestations of such medical illness or…

O.C.G.A. § 33-24-59.27 Right to shop for insurance coverage; disclosure of pricing information; notice

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(a) This Code section shall be known and may be cited as the ‘‘Georgia Right to Shop Act.’’ (b) As used in this Code section, the term: (1) ‘‘Covered person’’ means an individual who is covered under a health beneﬁt policy. (2) ‘‘Emergency services’’ means those health care servi…

O.C.G.A. § 33-24-59.28 Insurer obligations for early prescription reﬁlls during emergencies

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(a) As used in this Code section, the term ‘‘health care insurer’’ means an insurer, a fraternal beneﬁt society, a health care plan, or a health maintenance organization authorized under this title to sell accident and sickness insurance policies, subscriber certiﬁcates, or other…

O.C.G.A. § 33-24-59.29 Copayments

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(a) As used in this Code section, the term ‘‘health beneﬁt plan’’ means any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare beneﬁt plan, contract or agreement with a health maintenance organization, subscriber contract…

O.C.G.A. § 33-24-59.3 Payments sent directly to health care provider by insurer

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(a) As used in this Code section, the term ‘‘health care insurer’’ means any insurer which issues, delivers, issues for delivery, or renews an individual or group plan, policy, or contract for health care services issued, delivered, issued for delivery, or renewed in this state b…

O.C.G.A. § 33-24-59.4 Conﬁdentiality of medical information obtained from pharmacies; restrictions on release of information; penalty for violation

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(a) As used in this Code section, the term ‘‘insurer’’ means an accident and sickness insurer, fraternal beneﬁt society, health care corporation, health maintenance organization, provider sponsored health care corporation, or the plan administrator of any health beneﬁt plan estab…

O.C.G.A. § 33-24-59.5 Deﬁnitions; timely payment of health beneﬁts; notiﬁcation of failure to pay; penalties; applicability

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(a) As used in this Code section, the term: (1) ‘‘Beneﬁts’’ means the coverages provided by a health beneﬁt plan for ﬁnancing or delivery of health care goods or services; but such term does not include capitated payment arrangements under managed care plans. (2) ‘‘Health beneﬁt …

O.C.G.A. § 33-24-59.6 Prescribed female contraceptive drugs or devices; insurance coverage

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(a) The General Assembly ﬁnds and declares that: (1) Maternal and infant health are greatly improved when women have access to contraceptive supplies to prevent unintended pregnancies; (2) Because many Americans hope to complete their families with two or three children, many wom…

O.C.G.A. § 33-24-59.7 Coverage for the treatment of morbidly obese patients; short title; legislative ﬁndings; adoption of rules and regulations by Commissioner

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(a) This Code section shall be known and may be cited as the ‘‘Morbid Obesity Anti-discrimination Act.’’ (b) The General Assembly ﬁnds and declares that: (1) Whereas many health care insurers cover the costs of treatment for patients diagnosed as morbidly obese by their physician…

O.C.G.A. § 33-24-59.8 Coverage for prescription inhalers; no restriction on the number of days before obtaining a reﬁll as prescribed

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No individual major medical or group health insurance policy, group health insurance plan or policy, or any other form of managed or capitated health care plans or policies issued, delivered, issued for delivery, or renewed containing coverage for prescription drugs and pharmaceu…

O.C.G.A. § 33-24-59.9 Registered nurse ﬁrst assistants

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(a) This Code section shall be known and may be cited as the ‘‘Registered Nurse First Assistant Consumer Act.’’ (b) It is the intent of the General Assembly to: (1) Encourage the continued use of registered nurse ﬁrst assistants who meet the qualiﬁcations of this Code section as …

O.C.G.A. § 33-24-6 Consent of insured to insurance contract; exceptions; reliance by insurer on statements in application

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(a) No life or accident and sickness insurance contract upon an individual, except a contract of group life insurance or of group or blanket accident and sickness insurance, shall be made or effectuated unless at the time of the making of the contract the individual insured, bein…

O.C.G.A. § 33-24-6.1 Prerequisites for replacement life insurance exceeding insurance being surrendered

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Notwithstanding the provisions of subsection (d) of Code Section 33-24-3, subsection (d) of Code Section 33-24-6, or paragraph (11) of Code Section 33-27-3 which relate to the replacement of existing life insurance, any new life insurance may exceed the insurance being surrendere…

O.C.G.A. § 33-24-7 Statements and descriptions in applications or in negotiations deemed representations and not warranties; effect of misrepresentations upon recovery under policies

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(a) All statements and descriptions in any application for an insurance policy or annuity contract or in negotiations for such, by or in behalf of the insured or annuitant, shall be deemed to be representations and not warranties. (b) Misrepresentations, omissions, concealment of…

O.C.G.A. § 33-24-8 Admissibility in evidence of applications in actions between insurer and insured

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As to kinds of insurance other than life insurance, no application for insurance signed by or on behalf of the insured shall be admissible in evidence in any action between the insured and the insurer arising out of the policy applied for if the insurer, at expiration of 30 days …

O.C.G.A. § 33-24-9 Approval or disapproval of forms

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(a) No basic insurance policy or annuity contract form or application form where written application is required and is to be made a part of the policy or contract or printed rider or endorsement form or form of renewal certiﬁcate shall be delivered or issued for delivery in this…

O.C.G.A. § 33-24-60 Short title

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This article shall be known and may be cited as the ‘‘Assessment of Proposed Accident and Sickness Insurance Coverage Act.’’ History. — Code 1981, § 33-24-60, enacted by Ga. L. 1989, p. 492, § 1.

O.C.G.A. § 33-24-61 Legislative ﬁndings and intent

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It is the intent of the General Assembly to encourage health care cost containment while preserving the quality of care offered to citizens of this state. The General Assembly ﬁnds that there is an increasing number of proposals which mandate that certain health insurance beneﬁts…

O.C.G.A. § 33-24-62 ‘‘Health insurance beneﬁt bill’’ deﬁned

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As used in this article, the term ‘‘health insurance beneﬁt bill’’ means any legislative proposal which either mandates the inclusion of certain beneﬁts, coverages, or reimbursements for covered health care services in accident and sickness insurance policies or provides for the …