{"data":{"id":"us-az/a.r.s.-20-111","jurisdiction":"us-az","citation":"A.R.S. § 20-111","heading":"Health insurers; savings incentive programs; definitions","body":"A. A health insurer may establish a program that provides a savings incentive for enrollees for medically necessary covered health care services that health care providers and health care facilities provide at a price that is below the health insurer's usual reimbursement.\n\nB. The program may enable an eligible enrollee who receives covered health care services from a health care provider or health care facility at a price below the health insurer's usual reimbursement to have the amount the enrollee pays applied toward the enrollee's deductible and out-of-pocket maximum and be reimbursed for a portion of the amount of the difference between the price the enrollee paid and the health insurer's usual reimbursement.\n\nC. For the purposes of this section:\n\n1. \"Health care facility\" means a hospital, outpatient surgical center, health care laboratory, diagnostic imaging center or urgent care center.\n\n2. \"Health care provider\" has the same meaning prescribed in section 32-3216.\n\n3. \"Health insurer\" has the same meaning prescribed in section 32-3216.\n\n4. \"Usual reimbursement\" means the amount the health insurer would ordinarily pay an in-network health care provider or an in-network health care facility for the service.","path":["Title 20 Insurance"],"source_url":"https://www.azleg.gov/ars/20/00111.htm","current_through":"2026-09-04","vintage":"2026-08-09","retrieved_at":"2026-09-04T00:49:56Z","sha256":"7b68a2e370bdf7d98cd800273e9f616119a0ce6f335e8579f6423ba0fca39e05","source_id":"us-az","stale":true,"prev":"us-az/a.r.s.-20-1109","next":"us-az/a.r.s.-20-1110"},"notice":"GroundRules: Original legal text. Not legal advice."}