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- Alaska Statutes.
- Title 21. Insurance
- Chapter 55. State Health Insurance
- Section 120. Deductibles and Copayments.
previous: Section 110
. Minimum Benefits of State Health Insurance Plan.
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. Preexisting Conditions.
AS 21.55.120. Deductibles and Copayments.
- (a) A state plan other than a Medicare supplement plan may require a deductible of not less than $500 a person as
determined by the board and approved by the director. The amount of the deductible may not be greater when a service is
rendered on an outpatient basis than when that service is offered on an inpatient basis. Expenses incurred during the
last three months of a calendar year and actually applied to an individual's deductible for that year shall also be
applied to that individual's deductible in the following calendar year.
- (b) A state plan other than a Medicare supplement plan shall require a maximum copayment of 20 percent for charges for all
types of health care in excess of the deductible and 50 percent for services described in AS 21.55.110
(3) in excess of the deductible.
- (c) The sum of the deductible and copayments required in any calendar year under a plan may not exceed a maximum limit of
$1,500 plus the deductible. Covered expenses incurred after the applicable maximum limit has been reached shall be paid
at the rate of 100 percent of usual, customary, reasonable, or prevailing charges, except that expenses incurred for
treatment of mental and nervous conditions shall be paid at the rate of 50 percent.
- (d) [Repealed, Sec. 24 ch 31 SLA 1999].
- (e) [Repealed, Sec. 24 ch 31 SLA 1999].
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