{"data":{"id":"us-ok/okla.-stat.-tit.-74-74-1307","jurisdiction":"us-ok","citation":"Okla. Stat. tit. 74, § 74-1307","heading":"Specifications - Limitations on benefits - Exceptions","body":"A. The specifications drawn by the Oklahoma Health Care\n\nAuthority for the health insurance plan shall provide for\n\ncomprehensive hospital medical and surgical benefits. The health\n\ninsurance plan may limit coverage for a particular illness, disease,\n\ninjury or condition; but, except for such limits, shall not exclude\n\nor limit particular services or procedures that can be provided for\n\nthe diagnosis and treatment of an illness, disease, injury or\n\ncondition, so long as the services and procedures provided are of\n\nsound efficacy, are medically necessary, and fall within the\n\nlicensed scope of practice of the practitioner providing same. The\n\nhealth insurance plan may contract with providers for specific\n\nservices based on levels of outcomes defined by the Authority and\n\nachieved by the provider. The health insurance plan may provide for\n\nthe application of deductibles and copayment or coinsurance\n\nprovisions that are based on contracts with providers for specific\n\nservices based on levels of outcomes or cost.\n\nB. The life insurance plan shall include Accidental Death and\n\nDismemberment Benefits and additional optional life insurance\n\ncoverage.","path":["OK Code","Title 74"],"source_url":"https://www.oklegislature.gov/OK_Statutes/CompleteTitles/os74.pdf","current_through":"2026-08-14","vintage":"open-us-law v2026.08, retrieved 2026-09-14","retrieved_at":"2026-09-14T18:32:36Z","sha256":"b43ac881e16df69f3844d0f1932254de912d68a99100bbe65737ce2f3aa2acfb","source_id":"us-ok","stale":false,"prev":"us-ok/okla.-stat.-tit.-74-74-1306.6","next":"us-ok/okla.-stat.-tit.-74-74-1307.1"},"notice":"GroundRules: Original legal text. Not legal advice."}