Okla. Stat. tit. 74, § 74-1307: Specifications - Limitations on benefits - Exceptions

A. The specifications drawn by the Oklahoma Health Care

Authority for the health insurance plan shall provide for

comprehensive hospital medical and surgical benefits. The health

insurance plan may limit coverage for a particular illness, disease,

injury or condition; but, except for such limits, shall not exclude

or limit particular services or procedures that can be provided for

the diagnosis and treatment of an illness, disease, injury or

condition, so long as the services and procedures provided are of

sound efficacy, are medically necessary, and fall within the

licensed scope of practice of the practitioner providing same. The

health insurance plan may contract with providers for specific

services based on levels of outcomes defined by the Authority and

achieved by the provider. The health insurance plan may provide for

the application of deductibles and copayment or coinsurance

provisions that are based on contracts with providers for specific

services based on levels of outcomes or cost.

B. The life insurance plan shall include Accidental Death and

Dismemberment Benefits and additional optional life insurance

coverage.