§300gg–138 Continuity of Care

Summary

Health care providers and facilities must take payment from a group health plan or an insurer as full payment for care when those items or services are covered under section 300gg–113 of this title, section 9818 of title 26, or section 1185g of title 29. The patient still must pay any usual cost-sharing, like copays or coinsurance, if the plan requires it. The provider or facility must keep following the plan’s or insurer’s rules, procedures, and quality standards for that patient and those services exactly as if their contract had not been ended.