{"data":{"id":"us-mt/33-22-1705","jurisdiction":"us-mt","citation":"33-22-1705","heading":"Incentives in health benefit plans.","body":"(1) A health care insurer may issue a policy or a health benefit plan that provides for incentives for covered persons to use the health care services of preferred providers. The policy or health benefit plan must contain at least:\n(a) a provision that if a covered person receives emergency care for services specified in the preferred provider agreement and cannot reasonably reach a preferred provider, the care rendered during the course of the emergency will be reimbursed as though the covered person had been treated by a preferred provider; and\n(b) a provision that clearly identifies the difference in benefit levels for health care services of a preferred provider and benefit levels for the same health care services of a nonpreferred provider.\n(2) A health care insurer may not require hospital staff privileges as criteria for designation as a preferred provider in a preferred provider agreement.","path":["TITLE 33. INSURANCE AND INSURANCE COMPANIES","CHAPTER 22. DISABILITY INSURANCE","Part 17. Preferred Provider Agreements"],"source_url":"https://mca.legmt.gov/bills/mca/title_0330/chapter_0220/part_0170/section_0050/0330-0220-0170-0050.html","current_through":"Montana Code Annotated 2025","vintage":"","retrieved_at":"2026-09-14T04:52:48Z","sha256":"684c0501d1125ea70c2ee508ab21c594912f4e83b336897ee7f11686ad74b24b","source_id":"us-mt","stale":false,"prev":"us-mt/33-22-1704","next":"us-mt/33-22-1706"},"notice":"GroundRules: Original legal text. Not legal advice."}