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- Alaska Statutes.
- Title 21. Insurance
- Chapter 86. Health Maintenance Organizations
- Section 78. Choice of Health Care Provider.
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AS 21.86.078. Choice of Health Care Provider.
- (a) A health maintenance organization shall offer to every enrollee a point-of-service plan option that would allow a
covered person to receive covered services from an out-of-network health care provider without obtaining a referral or
prior authorization from the health maintenance organization. The point-of-service plan option may require that an
enrollee pay a higher deductible or copayment and higher premium for the plan.
- (b) A health maintenance organization shall provide each enrollee with an opportunity at the time of enrollment and during
the annual open enrollment period to enroll in the point-of-service plan option. The health maintenance organization
shall provide written notice of the point-of-service plan option to each enrollee and shall include in that notice a
detailed explanation of the financial costs to be incurred by an enrollee who selects that option.
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