N.J.S.A. 17B:27-46.6 — Reduction of benefits where no second opinion obtained

17B:27-46.6. Reduction of benefits where no second opinion obtained Where a second surgical opinion program is operative in connection with surgical coverage under a group insurance policy, and provides second and third surgical opinion services at no cost to the insured or patient, the group policy may, as an incentive to encourage utilization of the program when elective surgery is proposed, provide reduced benefits for the surgeon's charges for such elective surgery if it is performed without first obtaining a second or third opinion confirming that the proposed elective surgery was advisable. L.1979, c. 329, s. 5. 17B:27-46.7. Permissible benefit exclusions A second surgical opinion program may exclude benefits while the patient is confined in a hospital as an inpatient, any surgical procedure not covered by the group insurance policy, and surgical procedures in the following categories: cosmetic surgery, dental surgery, and podiatric surgery. L. 1979, c. 329, s. 6. Amended by L. 1985, c. 277, s. 1.

This is the verbatim text of N.J.S.A. 17B:27-46.6, retrieved from the New Jersey Legislature's public statute corpus. Statutes are amended periodically — for the most current version, check the external source link above. Kyzer is not a law firm and this page is not legal advice.