Exclusions

R.I. Gen. Laws § 27-39-4., under Chapter 27-39 Second Medical Opinion.

R.I. Gen. Laws § 27-39-4.

(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.