Limitation of benefits; provision of other health care benefits.
MCL 550.1438
in effect550.1438. Limitation of benefits; provision of other health care benefits.
Sec. 438.
(1) Notwithstanding any other provision of this act, a health care corporation may limit the benefits it will furnish to an eligible child enrolled in the program to the following primary health care benefits:
(a) Doctor office visits for a sick child.
(b) Medically necessary outpatient diagnostic tests.
(c) Emergency medical and accident care in a doctor's office or hospital's emergency room.
(d) Medically necessary outpatient surgery and anesthesia.
(e) Preventive care, including, but not limited to, immunizations and well-child visits to a doctor's office.
(f) Outpatient substance abuse care.
(2) With the commissioner's approval, a health care corporation may provide other health care benefits in addition to the primary health care benefits set forth in subsection (1).
Add. 1991, Act 60, Imd. Eff. June 27, 1991
[PopularName] Blue Cross-Blue Shield
[PopularName] Act 350
Source: Michigan Legislature (legislature.mi.gov)URL: https://legislature.mi.gov/Laws/MCL?objectName=mcl-550-1438Fetched: 10/20/2026