§ 15–819
Statutes in effect as of October 1, 2026.
Md. Code Ann., Ins. § 15-819 (2026)
Title 15. Health Insurance
Subtitle 8. Required Health Insurance Benefits
§ 15–819LinkCopy Citation
(a)
This section applies to:
(1)
each individual, group, or blanket health insurance policy that is issued or delivered in the State by an insurer; and
(2)
each contract or certificate that is issued or delivered in the State by a nonprofit health service plan.
(b)
A policy, contract, or certificate subject to this section that provides coverage for an inpatient service in an acute general hospital shall provide coverage for:
(1)
a corresponding outpatient service that is provided to the insured instead of the inpatient service because of the denial, after review under a utilization review program, of a request by the attending physician for an inpatient admission; and
(2)
an objective second opinion given to the insured when required by a utilization review program under § 19-319 of the Health - General Article.